Pathological fracture, unspecified foot
ICD-10 M84.476 is a billable code used to indicate a diagnosis of pathological fracture, unspecified foot.
A pathological fracture of the foot occurs when a bone breaks in response to a disease process rather than due to trauma. This can be due to conditions such as osteoporosis, where bone density is significantly reduced, leading to increased fragility and susceptibility to fractures. Pathological fractures can also arise from other bone metabolism disorders, such as Paget's disease or metastatic cancer, which weaken the structural integrity of the bone. The foot is a complex structure composed of multiple bones, and fractures can occur in various locations, including the metatarsals, phalanges, and tarsal bones. The unspecified nature of this code indicates that the exact location of the fracture is not documented, which can complicate treatment and management. Patients with pathological fractures often present with pain, swelling, and difficulty bearing weight on the affected foot. Diagnosis typically involves imaging studies such as X-rays or MRI to confirm the fracture and assess the underlying bone condition. Treatment may include pain management, immobilization, and addressing the underlying bone density disorder to prevent future fractures.
Detailed imaging reports, clinical notes on fracture assessment, and documentation of underlying conditions.
Patients presenting with foot pain and a history of osteoporosis or other metabolic bone diseases.
Ensure that the documentation specifies the pathological nature of the fracture and any relevant comorbidities.
Records of bone density tests, treatment plans for osteoporosis, and any relevant lab results.
Patients with osteoporosis who experience fractures with minimal or no trauma.
Documentation should include details on the management of osteoporosis to support the diagnosis of a pathological fracture.
Used when a patient with a pathological fracture requires joint aspiration.
Document the reason for the procedure and any imaging studies performed.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
A pathological fracture occurs due to underlying disease processes that weaken the bone, such as osteoporosis, while a traumatic fracture results from an external force or injury.
