Pathological fracture, right finger(s)
ICD-10 M84.444 is a billable code used to indicate a diagnosis of pathological fracture, right finger(s).
A pathological fracture of the right finger(s) occurs when a bone in the finger(s) breaks due to an underlying disease process rather than from a traumatic injury. This type of fracture is often associated with conditions that weaken bone density, such as osteoporosis, osteogenesis imperfecta, or metastatic bone disease. In patients with osteoporosis, the bones become porous and brittle, making them more susceptible to fractures even with minimal or no trauma. The right finger(s) may be affected due to various factors, including age-related bone loss, hormonal changes, or chronic diseases that impair bone metabolism. Diagnosis typically involves clinical evaluation, imaging studies such as X-rays, and assessment of bone density through dual-energy X-ray absorptiometry (DEXA) scans. Treatment may include pain management, immobilization, and addressing the underlying bone density disorder to prevent future fractures. Understanding the etiology of the fracture is crucial for effective management and prevention strategies.
Detailed notes on fracture type, location, and treatment plan.
Patients presenting with fractures after minimal trauma, especially in older adults.
Ensure that the underlying bone density disorder is documented to support the diagnosis.
Assessment of bone density and hormonal evaluations.
Patients with osteoporosis or other metabolic bone diseases experiencing fractures.
Document any treatments for osteoporosis or metabolic disorders that may impact fracture risk.
Used when a patient with a pathological fracture requires joint aspiration.
Document the reason for aspiration and the findings.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
A pathological fracture occurs due to an underlying disease that weakens the bone, while a traumatic fracture results from an external force or injury. Proper documentation is essential to differentiate between the two for accurate coding.
