M48.4 Fatigue fracture of vertebra

Non-billable header with 9 child codes.

Applicable to

• Stress fracture of vertebra

Excludes1 (never code together)

• 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 note

• The appropriate 7th character is to be added to each code from subcategory M48.4:

7th character required

• 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

Codes under M48.4

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

Code annotations containing back-references to M48.4

Back-references to M48.4

• Type 1 Excludes: M48.5 Collapsed vertebra, not elsewhere classified ("fatigue fracture of vertebra (M48.4)")
• Type 1 Excludes: M48.5 Collapsed vertebra, not elsewhere classified ("stress fracture of vertebra (M48.4-)")
• Type 2 Excludes: M84.3 Stress fracture ("stress fracture of vertebra (M48.4-)")
• Type 2 Excludes: M84.38 Stress fracture, other site ("stress fracture of vertebra (M48.4-)")

Back-references to M48

• Type 1 Excludes: G55 Nerve root and plexus compressions in diseases classified elsewhere ("nerve root compression (due to) (in) spondylopathies (M46.-, M48.-)")

Nearby codes

• M48.34 Traumatic spondylopathy, thoracic region
• M48.35 Traumatic spondylopathy, thoracolumbar region
• M48.36 Traumatic spondylopathy, lumbar region
• M48.37 Traumatic spondylopathy, lumbosacral region
• M48.38 Traumatic spondylopathy, sacral and sacrococcygeal region
• M48.4 Fatigue fracture of vertebra (this code)
• M48.40 Fatigue fracture of vertebra, site unspecified
• M48.40XA Fatigue fracture of vertebra, site unspecified, initial encounter for fracture
• M48.40XD Fatigue fracture of vertebra, site unspecified, subsequent encounter for fracture with routine healing
• M48.40XG Fatigue fracture of vertebra, site unspecified, subsequent encounter for fracture with delayed healing
• M48.40XS Fatigue fracture of vertebra, site unspecified, sequela of fracture