Pathological fracture, unspecified femur
ICD-10 M84.453 is a billable code used to indicate a diagnosis of pathological fracture, unspecified femur.
A pathological fracture of the femur occurs when the bone 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 integrity, such as osteoporosis, metastatic cancer, or other bone density disorders. In patients with osteoporosis, the bone density is significantly reduced, leading to increased fragility and susceptibility to fractures even with minimal or no trauma. The femur, being one of the largest and strongest bones in the body, can still fracture under these weakened conditions, resulting in significant morbidity. Diagnosis typically involves imaging studies such as X-rays or MRIs to confirm the fracture and assess the underlying bone condition. Treatment may include surgical intervention, such as fixation or replacement, alongside management of the underlying condition to improve bone health and prevent future fractures. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement.
Detailed notes on fracture type, location, and underlying conditions.
Patients presenting with fractures after minimal trauma, often with a history of osteoporosis or malignancy.
Ensure that the cause of the fracture is clearly documented to support the use of M84.453.
Documentation of bone density tests and management of osteoporosis.
Patients with osteoporosis who experience fractures.
Include details on bone density assessments and treatment plans for osteoporosis.
Used for surgical management of femoral fractures.
Operative reports detailing the procedure and indications.
Orthopedic surgeons must document the reason for surgery and any underlying conditions.
A pathological fracture occurs due to an underlying disease that weakens the bone, while a traumatic fracture results from an external force or injury.
