Pathological fracture in neoplastic disease, unspecified hand
ICD-10 M84.549 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, unspecified hand.
Pathological fractures in neoplastic disease occur when a bone breaks due to the weakening of the bone structure caused by a tumor. This can happen in various types of neoplastic diseases, including primary bone tumors and metastatic cancers that spread to the bone. The hand, being a complex structure with multiple small bones, can be particularly vulnerable to such fractures. Patients with neoplastic diseases often experience changes in bone metabolism, leading to decreased bone density and increased fragility. Osteoporosis, a condition characterized by reduced bone mass and deterioration of bone tissue, can further complicate the situation, making fractures more likely. The diagnosis of a pathological fracture in the hand requires careful imaging studies, such as X-rays or MRIs, to assess the extent of the fracture and the underlying neoplastic condition. Treatment typically involves addressing the fracture, managing the underlying cancer, and possibly utilizing orthopedic interventions to stabilize the affected area. Understanding the relationship between neoplastic diseases and bone health is crucial for effective management and coding of these conditions.
Detailed history of the neoplastic disease, treatment history, and current status.
Patients with metastatic breast cancer presenting with hand fractures.
Ensure that the relationship between the neoplasm and the fracture is clearly documented.
Comprehensive assessment of the fracture, including imaging results and treatment plans.
Patients with primary bone tumors presenting with fractures in the hand.
Document the surgical interventions and any orthopedic devices used.
Used when a patient with a pathological fracture requires joint aspiration.
Document the reason for the procedure and the findings.
Orthopedic specialists should ensure that the procedure is linked to the diagnosis.
M84.549 is used for pathological fractures in neoplastic disease in an unspecified hand, while M84.548 is for fractures in other specified sites. The distinction is important for accurate coding based on the fracture's location.
