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Compare/M84.3 vs S62

M84.3 vs S62

M84.3 (Stress fracture) compared with S62 (Fracture at wrist and hand level), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. M84.3 carries an Excludes1 note covering S62: “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

M84.3Stress fractureS62Fracture at wrist and hand level
Billing statusNon-billable header

Report instead: M84.30XA, M84.30XD, M84.30XG, M84.30XK, M84.30XP

Non-billable header

Report instead: S62.001A, S62.001B, S62.001D, S62.001G, S62.001K

ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionStress fracture is a non-billable ICD-10-CM category code (M84.3).Fracture at wrist and hand level is a non-billable ICD-10-CM category code (S62).
7th characterThe appropriate 7th character is to be added to each code from subcategory M84.3:The appropriate 7th character is to be added to each code from category S62
Includes
Fatigue fracture
March fracture
Stress fracture NOS
Stress reaction
Use additional code
external cause code(s) to identify the cause of the stress fracture

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources