ICDcodes.org
FY2027

M84.321SStress fracture, right humerus, sequela

Billable

Is M84.321S billable?

Yes — M84.321S is billable for FY2027. M84.321S is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M84.321S may be submitted for encounters from October 1, 2026 through September 30, 2027.

M84.321S at a glance

CodeM84.321S
DescriptionStress fracture, right humerus, sequela
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "S"sequela

What does the 7th character "S" mean in M84.321S?

In M84.321S, the 7th character S means sequela. The 7th character is required for M84.321S to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does M84.321S group to?

M84.321S sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
  • 560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
  • 561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical

How is M84.321S listed in the Alphabetic Index?

The Alphabetic Index lists these routes under M84.32, the nearest indexed parent of M84.321S. Use them to find the family, then select the specific code.

  • Fracture, traumaticstresshumerus (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from M84.3

The conditions below can never be reported together with M84.321S 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 M84.321S to fully describe the condition. M84.321S 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 M84.321S, but a patient may have both at the same time. When documentation supports it, M84.321S 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 M84.321S, but a patient may have both at the same time. When documentation supports it, M84.321S 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 M84.321S, but a patient may have both at the same time. When documentation supports it, M84.321S and the excluded code may both be reported.

  • personal history of (healed) stress (fatigue) fracture (Z87.312)
  • stress fracture of vertebra (M48.4-)

How long has M84.321S existed?

M84.321S 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.