Pathological fracture, left foot
ICD-10 M84.475 is a billable code used to indicate a diagnosis of pathological fracture, left foot.
A pathological fracture of the left foot occurs when a bone breaks in response to minimal or no trauma due to underlying bone density disorders, such as osteoporosis or other metabolic bone diseases. These fractures are often the result of weakened bone structure, which can be caused by various factors including age, hormonal changes, nutritional deficiencies, and certain medical conditions. In the case of osteoporosis, the bone density decreases, making bones more fragile and susceptible to fractures. The left foot can be affected by various types of fractures, including those of the metatarsals, phalanges, or tarsal bones. Diagnosis typically involves imaging studies such as X-rays or MRIs to confirm the fracture and assess the extent of bone loss. Treatment may include pain management, immobilization, and addressing the underlying bone density issue through medications, dietary changes, or physical therapy. Understanding the etiology of the fracture is crucial for effective management and prevention of future fractures.
Detailed imaging reports, surgical notes, and history of present illness.
Patients presenting with fractures after minimal trauma, elderly patients with osteoporosis.
Ensure that the underlying conditions are well-documented to support the diagnosis of a pathological fracture.
Bone density test results, lab results for calcium and vitamin D levels.
Patients with osteoporosis or other metabolic bone diseases experiencing fractures.
Documenting the management of the underlying condition is crucial for accurate coding.
Used when a patient with a pathological fracture requires joint aspiration.
Document the reason for the procedure and the findings during aspiration.
Orthopedic specialists should ensure that the joint status is well-documented.
A pathological fracture occurs due to weakened bone structure from underlying conditions like osteoporosis, while a traumatic fracture results from an external force or injury.
