Pathological fracture in other disease, unspecified shoulder
ICD-10 M84.619 is a billable code used to indicate a diagnosis of pathological fracture in other disease, unspecified shoulder.
M84.619 refers to a pathological fracture occurring in the shoulder region due to underlying diseases that affect bone density and metabolism, such as osteoporosis, malignancies, or metabolic bone disorders. Pathological fractures are fractures that occur in bones weakened by disease rather than by trauma. In the case of the shoulder, these fractures can significantly impact mobility and quality of life. Osteoporosis, a common condition characterized by decreased bone density, is often a primary contributor to such fractures, particularly in older adults. Other conditions, such as Paget's disease or metastatic cancer, can also lead to weakened bone structures, increasing the risk of fractures. Diagnosis typically involves imaging studies, such as X-rays or MRIs, to confirm the fracture and assess the extent of bone involvement. Treatment may include pain management, physical therapy, and in some cases, surgical intervention. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed notes on fracture type, location, and underlying conditions affecting bone health.
Patients presenting with fractures due to osteoporosis or other metabolic bone diseases.
Ensure that all relevant imaging and lab results are included to support the diagnosis.
Comprehensive evaluation of metabolic bone disorders, including lab results and treatment plans.
Patients with osteoporosis or other endocrine disorders leading to bone fragility.
Document any hormonal treatments or interventions that may impact bone density.
Used when a patient with a pathological fracture requires joint aspiration for diagnostic or therapeutic purposes.
Document the reason for the procedure, including the patient's history of bone disease.
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, while a traumatic fracture results from an external force or injury. Proper documentation is crucial to differentiate between the two for accurate coding.
