M48.43 — Fatigue fracture of vertebra, cervicothoracic region
Is M48.43 billable?
No — M48.43 is a non-billable header code. M48.43 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 4 billable codes beneath M48.43.
Billable codes under this header
- M48.43XAFatigue fracture of vertebra, cervicothoracic region, initial encounter for fracture
- M48.43XDFatigue fracture of vertebra, cervicothoracic region, subsequent encounter for fracture with routine healing
- M48.43XGFatigue fracture of vertebra, cervicothoracic region, subsequent encounter for fracture with delayed healing
- M48.43XSFatigue fracture of vertebra, cervicothoracic region, sequela of fracture
M48.43 at a glance
| Code | M48.43 |
|---|---|
| Description | Fatigue fracture of vertebra, cervicothoracic region |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M48.43 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M48.43. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › fatigue › vertebra › cervicothoracic region (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from M48.4
The conditions below can never be reported together with M48.43 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M48.43, but a patient may have both at the same time. When documentation supports it, M48.43 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 M48.43? (4)
- M48.43XAFatigue fracture of vertebra, cervicothoracic region, initial encounter for fracture
- M48.43XDFatigue fracture of vertebra, cervicothoracic region, subsequent encounter for fracture with routine healing
- M48.43XGFatigue fracture of vertebra, cervicothoracic region, subsequent encounter for fracture with delayed healing
- M48.43XSFatigue fracture of vertebra, cervicothoracic region, sequela of fracture
How long has M48.43 existed?
M48.43 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 M48.4 family? (8)
- M48.40Fatigue fracture of vertebra, site unspecifiednot billable
- M48.41Fatigue fracture of vertebra, occipito-atlanto-axial regionnot billable
- M48.42Fatigue fracture of vertebra, cervical regionnot billable
- M48.44Fatigue fracture of vertebra, thoracic regionnot billable
- M48.45Fatigue fracture of vertebra, thoracolumbar regionnot billable
- M48.46Fatigue fracture of vertebra, lumbar regionnot billable
- M48.47Fatigue fracture of vertebra, lumbosacral regionnot billable
- M48.48Fatigue fracture of vertebra, sacral and sacrococcygeal regionnot billable