2025 ICD-10-CM code M84.359A
(Active) Effective Date: N/A Diseases of the musculoskeletal system and connective tissue - Osteopathies and chondropathies 13 Feed
Stress fracture, hip, unspecified, initial encounter for fracture.
Medical necessity for treatment is based on the patient's pain, functional limitations, and the risk of the fracture worsening.Treatment aims to alleviate pain, promote healing, and prevent complications.
Providers diagnose the condition on the basis of a physical examination, study of the patient’s medical history pertaining to fracture, laboratory examination of a blood sample to evaluate the level of calcium and vitamin D, and imaging techniques such as X–ray, magnetic resonance imaging, or MRI, and or a bone scan. Treatment options include lifestyle modification, rest, splinting or cast application for immobilization, administration of medications such as nonsteroidal antiinflammatory drugs, or NSAIDs, to relieve pain, and surgical repair for severe cases.
In simple words: A stress fracture of the hip is a small crack in the hip bone, usually caused by repeated stress or overuse.It's common in athletes, especially runners. This code is used for the first visit for this type of fracture.
A stress fracture of the hip is a small break in the bone due to overuse, or from repeated injury such as in high impact sports, stress, or trauma. This code applies to a visit for an initial encounter for a fracture.
Example 1: A 25-year-old marathon runner presents with groin pain that worsens with activity and is relieved by rest. After examination and imaging, a stress fracture of the hip is diagnosed. This is the patient's first visit for this condition., A 50-year-old female with a history of osteoporosis presents with hip pain. An X-ray reveals a stress fracture.This is her initial visit for this fracture., A 16-year-old ballet dancer experiences increasing hip pain during practice. A bone scan reveals a stress fracture in the femoral neck. This is the dancer's first encounter for this specific injury.
Documentation should include details of the patient's symptoms, physical examination findings, imaging results (X-ray, bone scan, MRI), and any relevant medical history, such as osteoporosis or intense physical activity.
- Specialties:Orthopedic Surgery, Sports Medicine, Physical Medicine and Rehabilitation
- Place of Service:Office, Outpatient Hospital, Emergency Room - Hospital