ICD10

ICD-10 Code M48.4: Fatigue fracture of vertebra

M48.4 is an ICD-10 diagnosis entry used to group records related to Fatigue fracture of vertebra. You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen. ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Diseases of the musculoskeletal system and connective tissue (M00-M99).

Reviewed by HealthAssure Clinical TeamUpdated 21 May 2026

What is this code?

ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Diseases of the musculoskeletal system and connective tissue (M00-M99).

When is it used?

  • May be used when a clinician documents fatigue fracture of vertebra in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code may act more like a grouping or parent code, so a more specific child code may be used in final documentation when available.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.
  • This entry may represent a broader category rather than the most specific billable code.

Code hierarchy

chapter
13Diseases of the musculoskeletal system and connective tissue (M00-M99)
block
M40-M54Dorsopathies
block
M45-M49Spondylopathies
category
M48Other spondylopathies
currentM48

Official coding notes

Inclusion terms
  • Stress fracture of vertebra
Excludes1 (do not 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 notes
  • The appropriate 7th character is to be added to each code from subcategory M48.4:
  • initial encounter for fracture
  • subsequent encounter for fracture with routine healing
  • subsequent encounter for fracture with delayed healing
  • sequela of fracture

Where you may see this code

You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen.

Related specialists

Orthopedic SpecialistRheumatologist

Coding guidelines

Compatibility

Legacy code aligns to an official FY 2026 category. Frontend should resolve to the official category page and surface the billable child codes.
Legacy codes
M48.4
Replacement codes
M48.40 — Fatigue fracture of vertebra, site unspecifiedM48.41 — Fatigue fracture of vertebra, occipito-atlanto-axial regionM48.42 — Fatigue fracture of vertebra, cervical regionM48.43 — Fatigue fracture of vertebra, cervicothoracic regionM48.44 — Fatigue fracture of vertebra, thoracic regionM48.45 — Fatigue fracture of vertebra, thoracolumbar regionM48.46 — Fatigue fracture of vertebra, lumbar regionM48.47 — Fatigue fracture of vertebra, lumbosacral regionM48.48 — Fatigue fracture of vertebra, sacral and sacrococcygeal region

Common synonyms

Fatigue fracture of vertebra

Frequently asked questions

Code details

CodeM48.4
SystemICD10
Display nameFatigue fracture of vertebra
ChapterDiseases of the musculoskeletal system and connective tissue (M00-M99)
BlockSpondylopathies

Flags

BillableNo
Valid clinical useNo

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.