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M84.311S vs M84.319S

M84.311S (Stress fracture, right shoulder, sequela) compared with M84.319S (Stress fracture, unspecified shoulder, sequela), from the official CMS tabular data. M84.311S and M84.319S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M84.311S
Right
Stress fracture, right shoulder, sequela
M84.319S
Unspecified
Stress fracture, unspecified shoulder, sequela

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. M84.311S and M84.319S name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

M84.311SStress fracture, right shoulder, sequelaM84.319SStress fracture, unspecified shoulder, sequela
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionStress fracture, right shoulder, sequela is a billable ICD-10-CM diagnosis code (M84.311S).Stress fracture, unspecified shoulder, sequela is a billable ICD-10-CM diagnosis code (M84.319S).
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 subcategory M84.3:
Use additional code
external cause code(s) to identify the cause of the stress fracture
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