Pathological fracture in neoplastic disease, unspecified femur
ICD-10 M84.553 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, unspecified femur.
Pathological fractures occur when a bone breaks due to a disease process rather than from a traumatic injury. In the case of neoplastic disease, these fractures are often associated with tumors that weaken the bone structure, leading to increased susceptibility to fractures even with minimal or no trauma. The femur, being the longest and strongest bone in the body, can be affected by various neoplastic conditions, including primary bone tumors and metastatic cancers from other sites. Patients with conditions such as osteoporosis or other bone density disorders may experience exacerbated effects from neoplastic diseases, as their bones are already compromised. The diagnosis of a pathological fracture in the femur necessitates careful evaluation of the underlying neoplastic condition, as treatment may involve addressing both the fracture and the cancer. Management typically includes stabilization of the fracture, pain control, and treatment of the underlying malignancy, which may involve surgery, radiation, or chemotherapy. Accurate coding is essential for proper reimbursement and to reflect the complexity of care provided.
Detailed history of the neoplastic disease, treatment history, and current status.
Patients with metastatic cancer presenting with fractures due to weakened bones.
Ensure that the primary cancer diagnosis is clearly documented to support the use of M84.553.
Comprehensive assessment of the fracture, including imaging studies and treatment plans.
Patients presenting with fractures after minimal trauma, particularly those with known malignancies.
Document the mechanism of injury and any pre-existing conditions affecting bone density.
Used when surgical intervention is required for a pathological fracture.
Surgical notes, imaging studies, and pre-operative assessments.
Orthopedic surgeons should document the relationship between the fracture and the neoplastic disease.
A pathological fracture occurs due to a disease process that weakens the bone, while a traumatic fracture results from an external force or injury.
