M84.319 — Stress fracture, unspecified shoulder
Is M84.319 billable?
No — M84.319 is a non-billable header code. M84.319 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 6 billable codes beneath M84.319.
Billable codes under this header
- M84.319AStress fracture, unspecified shoulder, initial encounter for fracture
- M84.319DStress fracture, unspecified shoulder, subsequent encounter for fracture with routine healing
- M84.319GStress fracture, unspecified shoulder, subsequent encounter for fracture with delayed healing
- M84.319KStress fracture, unspecified shoulder, subsequent encounter for fracture with nonunion
- M84.319PStress fracture, unspecified shoulder, subsequent encounter for fracture with malunion
- M84.319SStress fracture, unspecified shoulder, sequela
M84.319 at a glance
| Code | M84.319 |
|---|---|
| Description | Stress fracture, unspecified shoulder |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.319 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M84.31, the nearest indexed parent of M84.319. Use them to find the family, then select the specific code.
- Fracture, traumatic › stress › clavicle (abduction) (adduction) (separation)
- Fracture, traumatic › stress › scapula (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from M84.3
The conditions below can never be reported together with M84.319 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from M84.3
Report an additional code alongside M84.319 to fully describe the condition. M84.319 is sequenced first.
- external cause code(s) to identify the cause of the stress fracture
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M84.319, but a patient may have both at the same time. When documentation supports it, M84.319 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)
Excludes2 — not included here — inherited from M84
The conditions below are not part of M84.319, but a patient may have both at the same time. When documentation supports it, M84.319 and the excluded code may both be reported.
- traumatic fracture of bone-see fracture, by site
Excludes2 — not included here — inherited from M84.3
The conditions below are not part of M84.319, but a patient may have both at the same time. When documentation supports it, M84.319 and the excluded code may both be reported.
What codes fall under M84.319? (6)
- M84.319AStress fracture, unspecified shoulder, initial encounter for fracture
- M84.319DStress fracture, unspecified shoulder, subsequent encounter for fracture with routine healing
- M84.319GStress fracture, unspecified shoulder, subsequent encounter for fracture with delayed healing
- M84.319KStress fracture, unspecified shoulder, subsequent encounter for fracture with nonunion
- M84.319PStress fracture, unspecified shoulder, subsequent encounter for fracture with malunion
- M84.319SStress fracture, unspecified shoulder, sequela
How long has M84.319 existed?
M84.319 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.