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2025 ICD-10-CM code Z87.312

Personal history of a healed stress fracture (also known as a fatigue fracture).

If a procedure is performed during the encounter, a procedure code must accompany the Z code. Code first any follow-up examination after treatment for the original fracture (Z09). Do not use this code for a current stress fracture (M84.3).

The Z87.312 code is used to document a relevant past medical history.While not billable in itself, it may provide important context for current complaints or guide future treatment decisions.

The provider is responsible for documenting the presence of a healed stress fracture and ensuring its relevance to the current encounter. It's important to differentiate between a current stress fracture (M84.3) and a personal history of one.

In simple words: This code documents a past, fully healed stress fracture in a bone.

Personal history of a healed stress fracture. This code indicates a past stress fracture that has completely healed.A stress fracture is a small crack in a bone, or severe bruising within a bone, caused by repetitive overuse and stress. Most stress fractures occur in the weight-bearing bones of the lower leg and foot.

Example 1: A patient presents for a routine physical. During the exam, they mention a past stress fracture in their tibia that occurred several years ago and is now completely healed. The provider documents this using Z87.312., A patient with a history of multiple stress fractures is seen for evaluation of osteoporosis.The provider documents the osteoporosis diagnosis and the history of stress fractures using Z87.312., A patient is seen for knee pain.During the history, the patient reports a prior stress fracture in the same leg. The healed stress fracture is noted using Z87.312 but is not the primary reason for the visit.

Documentation should clearly indicate that the stress fracture is healed and not a current condition.Supporting documentation might include previous imaging studies, medical records, or a clear statement from the patient confirming the fracture's complete healing.

** This code is exempt from the Present on Admission (POA) reporting requirement.

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