ICDcodes.org
FY2027

M48.4 — Fatigue fracture of vertebra

Not billable

Is M48.4 billable?

No — M48.4 is a non-billable header code. M48.4 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 36 billable codes beneath M48.4.

Billable codes under this header

M48.4 at a glance

CodeM48.4
DescriptionFatigue fracture of vertebra
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes1 — never code together

The conditions below can never be reported together with M48.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • pathological fracture NOS (M84.4-)
  • pathological fracture of vertebra due to neoplasm (M84.58)
  • pathological fracture of vertebra due to other diagnosis (M84.68)
  • pathological fracture of vertebra due to osteoporosis (M80.-)
  • traumatic fracture of vertebrae (S12.0-S12.3-, S22.0-, S32.0-)

Inclusion terms

Alternative wording in documentation that is classified to M48.4.

  • Stress fracture of vertebra

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M48.4, but a patient may have both at the same time. When documentation supports it, M48.4 and the excluded code may both be reported.

  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

What codes fall under M48.4? (9)

How long has M48.4 existed?

M48.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the M48 family? (7)