M84.363
M84.363 — Stress fracture, right fibula
Non-billable headerICD-10-CMright
M84.363 is a non-billable header ICD-10-CM code for stress fracture, right fibula. 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
M84.363 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 M84.363
6 child codes. Green means billable.
- M84.363AStress fracture, right fibula, initial encounter for fracture
- M84.363DStress fracture, right fibula, subsequent encounter for fracture with routine healing
- M84.363GStress fracture, right fibula, subsequent encounter for fracture with delayed healing
- M84.363KStress fracture, right fibula, subsequent encounter for fracture with nonunion
- M84.363PStress fracture, right fibula, subsequent encounter for fracture with malunion
- M84.363SStress fracture, right fibula, sequela
Related codes at this level
Codes that share M84.36. If M84.363 is not quite right, the correct code is usually one of these.
Questions about M84.363
- Is M84.363 a billable ICD-10-CM code?
- No. M84.363 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M84.363 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).