Pathological fracture in other disease, left shoulder
ICD-10 M84.612 is a billable code used to indicate a diagnosis of pathological fracture in other disease, left shoulder.
A pathological fracture in the left shoulder occurs when a bone breaks due to an underlying disease process rather than from a traumatic injury. This type of fracture is often associated with conditions that affect bone density and metabolism, such as osteoporosis, osteogenesis imperfecta, or metastatic bone disease. In patients with osteoporosis, the bones become porous and brittle, leading to an increased risk of fractures even with minimal or no trauma. The left shoulder, specifically, may be affected by conditions such as rheumatoid arthritis or Paget's disease, which can weaken the bone structure. Diagnosis typically involves imaging studies such as X-rays or MRIs to confirm the fracture and assess the underlying bone condition. Treatment may include pain management, physical therapy, and addressing the underlying disease to improve bone health. Understanding the etiology of the fracture is crucial for effective management and prevention of future fractures.
Detailed documentation of fracture type, location, and underlying conditions.
Patients presenting with fractures after minimal trauma, history of osteoporosis.
Ensure comprehensive documentation of bone density tests and treatments for underlying conditions.
Documentation of metabolic bone diseases and treatment plans.
Patients with osteoporosis or other metabolic bone disorders experiencing fractures.
Focus on the management of the underlying disease to prevent future fractures.
Used for patients with shoulder pain due to a pathological fracture.
Document the reason for the procedure and the patient's history.
Orthopedic specialists should ensure proper coding of the procedure in relation to the diagnosis.
A pathological fracture is a bone fracture that occurs in a bone weakened by disease, such as osteoporosis or cancer, rather than from a direct injury.
M84.612 is specifically for fractures due to underlying diseases, while traumatic fracture codes are used for fractures resulting from an external force or injury.
