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M84.363 vs M84.364

M84.363 (Stress fracture, right fibula) compared with M84.364 (Stress fracture, left fibula), from the official CMS tabular data. M84.363 and M84.364 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M84.363
Right
Stress fracture, right fibula
M84.364
Left
Stress fracture, left fibula

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. M84.363 and M84.364 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

M84.363Stress fracture, right fibulaM84.364Stress fracture, left fibula
Billing statusNon-billable header

Report instead: M84.363A, M84.363D, M84.363G, M84.363K, M84.363P

Non-billable header

Report instead: M84.364A, M84.364D, M84.364G, M84.364K, M84.364P

ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionStress fracture, right fibula is a non-billable ICD-10-CM category code (M84.363).Stress fracture, left fibula is a non-billable ICD-10-CM category code (M84.364).
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