Pathological fracture in neoplastic disease, hip, unspecified
ICD-10 M84.559 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, hip, unspecified.
Pathological fractures in neoplastic disease occur when a bone breaks due to the weakening of the bone structure caused by cancerous lesions. These fractures can occur in any bone but are particularly common in the hip due to its weight-bearing function. In patients with neoplastic diseases, such as metastatic cancer, the integrity of the bone is compromised as the tumor invades the bone tissue, leading to decreased bone density and increased fragility. This condition is often associated with osteoporosis, where the bone density is already reduced, making the bones more susceptible to fractures. The hip is a critical area for these fractures, as they can significantly impact mobility and quality of life. Diagnosis typically involves imaging studies such as X-rays or MRIs to confirm the presence of a fracture and assess the extent of bone involvement. Treatment may include surgical intervention, pain management, and addressing the underlying neoplastic disease. Accurate coding is essential for proper reimbursement and to reflect the complexity of care required for these patients.
Detailed documentation of the type and stage of cancer, treatment history, and any related bone health assessments.
Patients with metastatic breast cancer presenting with hip pain and subsequent imaging revealing a pathological fracture.
Ensure that the relationship between the neoplastic disease and the fracture is clearly documented to support the use of M84.559.
Comprehensive notes on the fracture assessment, treatment plan, and follow-up care.
An elderly patient with a history of prostate cancer presenting with hip fracture after minimal trauma.
Document the mechanism of injury and any pre-existing conditions that may contribute to bone fragility.
Used in cases where surgical intervention is required for a pathological hip fracture.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons must document the fracture type and any pre-existing conditions.
A pathological fracture occurs due to weakened bone structure from disease, such as cancer, while a traumatic fracture results from an external force or injury.
