M84.38 — Stress fracture, other site
Is M84.38 billable?
No — M84.38 is a non-billable header code. M84.38 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 M84.38.
Billable codes under this header
- M84.38XAStress fracture, other site, initial encounter for fracture
- M84.38XDStress fracture, other site, subsequent encounter for fracture with routine healing
- M84.38XGStress fracture, other site, subsequent encounter for fracture with delayed healing
- M84.38XKStress fracture, other site, subsequent encounter for fracture with nonunion
- M84.38XPStress fracture, other site, subsequent encounter for fracture with malunion
- M84.38XSStress fracture, other site, sequela
M84.38 at a glance
| Code | M84.38 |
|---|---|
| Description | Stress fracture, other site |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.38 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.38. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › stress › rib (abduction) (adduction) (separation)
- Fracture, traumatic › stress › skull (abduction) (adduction) (separation)
Excludes2 — not included here
The conditions below are not part of M84.38, but a patient may have both at the same time. When documentation supports it, M84.38 and the excluded code may both be reported.
- stress fracture of vertebra (M48.4-)
Excludes1 — never code together — inherited from M84.3
The conditions below can never be reported together with M84.38 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 M84.38 to fully describe the condition. M84.38 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 M84.38, but a patient may have both at the same time. When documentation supports it, M84.38 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 M84.38, but a patient may have both at the same time. When documentation supports it, M84.38 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 M84.38, but a patient may have both at the same time. When documentation supports it, M84.38 and the excluded code may both be reported.
What codes fall under M84.38? (6)
- M84.38XAStress fracture, other site, initial encounter for fracture
- M84.38XDStress fracture, other site, subsequent encounter for fracture with routine healing
- M84.38XGStress fracture, other site, subsequent encounter for fracture with delayed healing
- M84.38XKStress fracture, other site, subsequent encounter for fracture with nonunion
- M84.38XPStress fracture, other site, subsequent encounter for fracture with malunion
- M84.38XSStress fracture, other site, sequela
How long has M84.38 existed?
M84.38 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 M84.3 family? (8)
- M84.30Stress fracture, unspecified sitenot billable
- M84.31Stress fracture, shouldernot billable
- M84.32Stress fracture, humerusnot billable
- M84.33Stress fracture, ulna and radiusnot billable
- M84.34Stress fracture, hand and fingersnot billable
- M84.35Stress fracture, pelvis and femurnot billable
- M84.36Stress fracture, tibia and fibulanot billable
- M84.37Stress fracture, ankle, foot and toesnot billable