Pathological fracture in neoplastic disease, pelvis and femur
ICD-10 M84.55 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, pelvis and femur.
Pathological fractures in neoplastic disease, particularly in the pelvis and femur, occur when a bone weakened by cancer or metastatic disease breaks under normal stress or minimal trauma. These fractures are often associated with conditions such as osteoporosis, where bone density is significantly reduced, leading to increased fragility. In patients with neoplastic diseases, the cancer can directly invade the bone or cause changes in bone metabolism that weaken the structural integrity of the bone. This can result in fractures that may not occur in healthy bone. The pelvis and femur are common sites for these fractures due to their weight-bearing function and the stress they endure during daily activities. Diagnosis typically involves imaging studies such as X-rays or MRI to confirm the presence of a fracture and assess the extent of bone involvement. Management may include surgical intervention, pain management, and treatment of the underlying neoplastic disease. Understanding the interplay between cancer, bone density disorders, and fracture risk is crucial for effective treatment and coding.
Detailed history of the neoplastic disease, treatment history, and current status.
Patients with metastatic cancer presenting with bone pain and fractures.
Ensure accurate coding of both the neoplasm and the fracture.
Comprehensive assessment of the fracture, including imaging results and treatment plan.
Patients with pathological fractures requiring surgical intervention.
Document the mechanism of injury and any pre-existing bone conditions.
Used in cases where a pathological fracture of the femur requires surgical intervention.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons must document the fracture type and underlying neoplastic disease.
A pathological fracture occurs in a bone weakened by disease, such as cancer, while a traumatic fracture results from an external force or injury.
