{"code":"M48.4","type":"code","title":"Fatigue fracture of vertebra","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["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":[],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true},"inclusionTerms":["Stress fracture of vertebra"],"useAdditionalCode":[],"clinicalDefinition":"Fatigue fracture of vertebra is a non-billable ICD-10-CM category code (M48.4). A more specific billable subcode must be selected for claims submission. Inclusion terms: Stress fracture of vertebra. Excludes1 (not coded here): 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.","officialDefinition":"Fatigue fracture of vertebra is a non-billable ICD-10-CM category code (M48.4). A more specific billable subcode must be selected for claims submission. Inclusion terms: Stress fracture of vertebra. Excludes1 (not coded here): 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-). 7th character: The appropriate 7th character is to be added to each code from subcategory M48.4:.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from subcategory M48.4:","A: initial encounter for fracture","D: subsequent encounter for fracture with routine healing","G: subsequent encounter for fracture with delayed healing","S: sequela of fracture"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}