M84.362
M84.362 — Stress fracture, left tibia
Non-billable headerICD-10-CMleft
M84.362 is a non-billable header ICD-10-CM code for stress fracture, left tibia. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from subcategory M84.3:
- A
- initial encounter for fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- S
- sequela
Risk adjustment
M84.362 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M84.362
6 child codes. Green means billable.
- M84.362AStress fracture, left tibia, initial encounter for fracture
- M84.362DStress fracture, left tibia, subsequent encounter for fracture with routine healing
- M84.362GStress fracture, left tibia, subsequent encounter for fracture with delayed healing
- M84.362KStress fracture, left tibia, subsequent encounter for fracture with nonunion
- M84.362PStress fracture, left tibia, subsequent encounter for fracture with malunion
- M84.362SStress fracture, left tibia, sequela
Related codes at this level
Codes that share M84.36. If M84.362 is not quite right, the correct code is usually one of these.
Questions about M84.362
- Is M84.362 a billable ICD-10-CM code?
- No. M84.362 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M84.362 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of bone density and structure (M80-M85).