Pathological fracture in neoplastic disease, hand
ICD-10 M84.54 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, hand.
A pathological fracture in the hand due to neoplastic disease occurs when a tumor, either benign or malignant, weakens the bone structure, leading to an increased risk of fracture even with minimal or no trauma. Neoplastic diseases can include primary bone tumors, metastatic cancers, or conditions such as multiple myeloma. The hand, comprising numerous small bones, is particularly susceptible to these fractures due to the intricate bone architecture and the stress placed on these bones during daily activities. Patients may present with pain, swelling, and decreased function in the affected hand. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the extent of the fracture and the underlying neoplastic process. Treatment may involve surgical intervention, such as fixation or stabilization of the fracture, alongside management of the underlying neoplastic condition, which may include chemotherapy, radiation, or other oncological therapies. Understanding the relationship between bone metabolism, neoplastic disease, and fracture risk is crucial for effective management and coding of these complex cases.
Detailed documentation of the neoplastic diagnosis, treatment plan, and any imaging studies performed.
Patients with metastatic cancer presenting with bone pain and fractures.
Ensure that the primary cancer diagnosis is clearly linked to the fracture.
Comprehensive notes on the fracture type, treatment provided, and any surgical interventions.
Patients with pathological fractures requiring surgical fixation.
Document the mechanism of injury and any pre-existing conditions affecting bone health.
Used when a patient with a pathological fracture requires joint aspiration.
Document the indication for the procedure and any imaging performed.
Orthopedic specialists should ensure that the procedure is linked to the fracture diagnosis.
A pathological fracture occurs due to a disease process that weakens the bone, while a traumatic fracture results from an external force or injury.
