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2025 ICD-10-CM code M84.359S

Sequela of a stress fracture of the hip. This refers to the after-effects or complications resulting from a previous stress fracture in the hip, not the fracture itself.

It is crucial to differentiate between the acute stress fracture and the long-term effects (sequelae).Code M84.359S should only be used when the focus of the encounter is the after-effects of the stress fracture, not the active fracture itself.If both an active stress fracture and a sequela are present, both codes might be necessary.

Medical necessity for treatment related to the sequela of a hip stress fracture must be established. The documentation should clearly link the current condition to the previous injury and demonstrate how the sequela is impacting the patient's function and quality of life.

IMPORTANT:For the initial stress fracture use M84.359A, for subsequent encounters for fracture with routine healing use M84.359D, for delayed healing use M84.359G, for nonunion use M84.359K, and for malunion M84.359P.

In simple words: This code refers to the long-term effects of a stress fracture in the hip.A stress fracture is a tiny crack in the bone caused by repeated stress."Sequela" means the lingering problems caused by the original injury, after the fracture itself has healed.

Stress fracture, hip, unspecified, sequela. This code describes the late effects of a stress fracture in the hip region. A stress fracture is a small crack in the bone caused by repetitive stress, often from overuse in sports or other activities.A sequela indicates a condition that is a consequence of a previous injury or illness.

Example 1: A patient experiences persistent hip pain and stiffness years after a diagnosed stress fracture of the hip. The stress fracture itself had healed, but ongoing pain and limited range of motion are attributed to the previous injury., A patient develops osteoarthritis in the hip joint following a healed stress fracture. The altered biomechanics after the stress fracture contributed to the degenerative changes in the joint., A patient experiences chronic pain and weakness in the hip muscles due to nerve damage that occurred during the initial stress fracture incident.

Documentation should support the cause-and-effect relationship between the current condition and the prior stress fracture.Details about the initial injury, subsequent treatment, and the ongoing sequelae should be included in the patient's medical record. Imaging studies and other diagnostic tests might also be necessary.

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