Pathological fracture in neoplastic disease, tibia and fibula
ICD-10 M84.56 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, tibia and fibula.
Pathological fractures in neoplastic disease, specifically affecting the tibia and fibula, occur when bone integrity is compromised due to the presence of a tumor. These fractures are often a result of weakened bone structure due to the infiltration of cancer cells, which disrupt normal bone metabolism and density. Neoplastic diseases, such as metastatic cancer, can lead to osteolytic lesions that weaken the bone, making it susceptible to fractures even with minimal or no trauma. Patients with conditions like osteoporosis may also be at increased risk for such fractures, as their bone density is already compromised. Clinical management often involves addressing the underlying neoplastic condition, pain management, and potential surgical intervention to stabilize the fracture. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement, as it reflects the complexity of care required for patients with both cancer and skeletal complications.
Detailed history of the neoplastic disease, imaging results, and treatment plans.
Patients with metastatic cancer presenting with bone pain and fractures.
Ensure that the primary cancer diagnosis is clearly documented to support the fracture coding.
Surgical notes, imaging studies, and post-operative care details.
Surgical intervention for stabilization of pathological fractures in cancer patients.
Document the extent of bone involvement and any prior treatments that may affect bone integrity.
Used for pain management in patients with pathological fractures.
Document the indication for the procedure and any imaging studies performed.
Orthopedic specialists should ensure that the procedure is justified based on the patient's condition.
A pathological fracture occurs in a bone weakened by disease, such as cancer, while a traumatic fracture results from an external force or injury.
