Pathological fracture, right shoulder
ICD-10 M84.411 is a billable code used to indicate a diagnosis of pathological fracture, right shoulder.
A pathological fracture of the right shoulder occurs when a bone in the shoulder region breaks due to an underlying disease process rather than from an acute injury. This type of fracture is often associated with conditions such as osteoporosis, which leads to decreased bone density and increased fragility. Osteoporosis is characterized by a reduction in bone mass and deterioration of bone tissue, making bones more susceptible to fractures even with minimal trauma. In the case of the right shoulder, the fracture may involve the humerus or scapula, and it can result from various factors, including age-related bone loss, hormonal changes, or chronic diseases that affect bone metabolism. Patients with a pathological fracture may present with pain, swelling, and limited range of motion in the shoulder. Diagnosis typically involves imaging studies such as X-rays or MRI to confirm the fracture and assess the extent of bone loss. Management may include pain control, physical therapy, and treatment of the underlying condition to prevent future fractures.
Detailed imaging reports, clinical notes on fracture assessment, and treatment plans.
Patients presenting with shoulder pain and a history of osteoporosis or previous fractures.
Ensure that the underlying bone density disorder is well-documented to support the diagnosis of a pathological fracture.
Documentation of bone density tests, treatment plans for osteoporosis, and follow-up care.
Patients with osteoporosis who experience fractures or are at high risk for fractures.
Documenting the patient's bone health status and any medications affecting bone metabolism is crucial.
Used when a patient with a pathological fracture requires joint aspiration for diagnostic purposes.
Document the reason for the procedure and the findings from the aspiration.
Orthopedic specialists should ensure that the procedure is justified based on the patient's condition.
A pathological fracture occurs due to an underlying disease that weakens the bone, such as osteoporosis, while a traumatic fracture results from an external force or injury.