Pathological fracture, pelvis
ICD-10 M84.454 is a billable code used to indicate a diagnosis of pathological fracture, pelvis.
A pathological fracture of the pelvis occurs when a bone breaks in response to a disease process rather than due to trauma. This type of fracture is often associated with conditions that weaken bone density, such as osteoporosis, metastatic cancer, or other metabolic bone disorders. Osteoporosis, characterized by decreased bone mass and deterioration of bone tissue, significantly increases the risk of fractures, particularly in the elderly population. In patients with osteoporosis, even minor falls or stresses can lead to fractures. The pelvis is a common site for these fractures due to its weight-bearing function and the stresses it endures during daily activities. Diagnosis typically involves imaging studies such as X-rays or CT scans to confirm the fracture and assess the extent of bone loss. Management may include pain control, stabilization of the fracture, and treatment of the underlying bone density disorder to prevent future fractures. Understanding the underlying causes of pathological fractures is crucial for effective treatment and prevention strategies.
Detailed notes on fracture type, location, and any underlying conditions affecting bone health.
Patients presenting with hip pain and a history of osteoporosis or cancer.
Ensure imaging studies are documented and correlate with clinical findings.
Comprehensive assessment of bone density and metabolic disorders.
Patients with osteoporosis requiring management of bone health.
Document any treatments for osteoporosis that may impact fracture risk.
Used in conjunction with M84.454 when joint aspiration is needed due to swelling or pain.
Document the reason for aspiration and findings during the procedure.
Orthopedic specialists should ensure that the joint status is clearly documented.
A pathological fracture occurs due to underlying disease processes that weaken 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.
