Pathological fracture in neoplastic disease, right shoulder
ICD-10 M84.511 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, right shoulder.
Pathological fractures occur when the structural integrity of the bone is compromised due to underlying disease processes, such as neoplastic conditions. In the case of M84.511, the fracture is specifically located in the right shoulder and is associated with a neoplastic disease, which may include primary bone tumors or metastatic lesions from other cancers. These fractures are often the result of weakened bone density due to the infiltration of cancer cells, which disrupt normal bone metabolism and remodeling. Patients with neoplastic diseases may experience pain, swelling, and limited range of motion in the affected area, and the fractures can occur with minimal or no trauma. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the extent of the fracture and the underlying neoplastic condition. Treatment may include surgical intervention, pain management, and addressing the underlying cancer through chemotherapy or radiation therapy. Understanding the relationship between neoplastic diseases and bone health is crucial for effective management and coding of these complex cases.
Detailed documentation of the cancer diagnosis, treatment history, and any imaging studies performed.
Patients with metastatic breast cancer presenting with shoulder pain and subsequent imaging revealing a pathological fracture.
Ensure that the primary cancer diagnosis is clearly linked to the fracture for accurate coding.
Comprehensive notes on the fracture type, location, and any surgical interventions performed.
A patient with a known history of lung cancer presenting with a right shoulder fracture after a fall.
Document the mechanism of injury and any pre-existing conditions that may have contributed to the fracture.
Used when a patient with a pathological fracture requires joint aspiration for pain relief.
Document the indication for the procedure and any imaging studies performed.
Orthopedic specialists should ensure that the procedure is linked to the diagnosis of the pathological fracture.
A pathological fracture occurs in a bone weakened by disease, such as cancer, while a traumatic fracture results from an external force or injury.
