M48.4

Fatigue fracture of vertebra

Requires 7th character

M48.4 requires a 7th character to be reported. Choose a complete code below.

Inclusion terms

Applicable to

  • Stress fracture of vertebra

Includes (from M48)

  • Note: Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Excludes1

Not coded here — never report together with this code.

  • pathological fracture NOS (M84.4-)
  • pathological fracture of vertebra due to neoplasm (M84.58)
  • pathological fracture of vertebra due to other diagnosis (M84.68)
  • pathological fracture of vertebra due to osteoporosis (M80.-)
  • traumatic fracture of vertebrae (S12.0-S12.3-, S22.0-, S32.0-)

Excludes2

Not included here — may be reported together when both conditions exist.

  • arthropathic psoriasis (L40.5-) (from M48)
  • certain conditions originating in the perinatal period (P04-P96) (from M48)
  • certain infectious and parasitic diseases (A00-B99) (from M48)
  • compartment syndrome (traumatic) (T79.A-) (from M48)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from M48)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from M48)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from M48)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from M48)
  • neoplasms (C00-D49) (from M48)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from M48)

7th character

This code requires a 7th character. Use the placeholder "X" for missing positions.

CharacterMeaning
Ainitial encounter for fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ssequela of fracture

Also known as

  • Stress fracture of vertebra

Parent code

  • M48Other spondylopathiesHeader

More specific codes M48.4

  • M48.40Fatigue fracture of vertebra, site unspecifiedNeeds 7th char
  • M48.41Fatigue fracture of vertebra, occipito-atlanto-axial regionNeeds 7th char
  • M48.42Fatigue fracture of vertebra, cervical regionNeeds 7th char
  • M48.43Fatigue fracture of vertebra, cervicothoracic regionNeeds 7th char
  • M48.44Fatigue fracture of vertebra, thoracic regionNeeds 7th char
  • M48.45Fatigue fracture of vertebra, thoracolumbar regionNeeds 7th char
  • M48.46Fatigue fracture of vertebra, lumbar regionNeeds 7th char
  • M48.47Fatigue fracture of vertebra, lumbosacral regionNeeds 7th char
  • M48.48Fatigue fracture of vertebra, sacral and sacrococcygeal regionNeeds 7th char

Related codes

  • M48.0Spinal stenosisHeader
  • M48.1Ankylosing hyperostosis [Forestier]Header
  • M48.2Kissing spineHeader
  • M48.3Traumatic spondylopathyHeader
  • M48.5Collapsed vertebra, not elsewhere classifiedNeeds 7th char
  • M48.8Other specified spondylopathiesHeader
  • M48.9Spondylopathy, unspecifiedBillable

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