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M48.4 Non-Billable Code

Fatigue fracture of vertebra

Chapter Classification

Chapter 13 Diseases of the musculoskeletal system and connective tissue (M00-M99)

Section Detail

M45-M49 Spondylopathies (M45-M49)

Code Hierarchy

This code is a child of M48.

As a non-billable code, it requires more specific digits to be used on a medical claim.

Coding Guidelines & Notes

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-)
sevenChrDef
  • {'char': 'A', 'text': 'initial encounter for fracture'}
  • {'char': 'D', 'text': 'subsequent encounter for fracture with routine healing'}
  • {'char': 'G', 'text': 'subsequent encounter for fracture with delayed healing'}
  • {'char': 'S', 'text': 'sequela of fracture'}
sevenChrNote
  • The appropriate 7th character is to be added to each code from subcategory M48.4:

More Specific Diagnosis Codes

This code is not billable as it requires a higher level of specificity. Select a more specific code below.

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

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