Atypical femoral fracture, unspecified
ICD-10 M84.750 is a billable code used to indicate a diagnosis of atypical femoral fracture, unspecified.
An atypical femoral fracture is a specific type of fracture that occurs in the femur (thigh bone) and is characterized by its unusual location and mechanism of injury. These fractures are often associated with long-term use of bisphosphonates, medications commonly prescribed for osteoporosis and other bone density disorders. Unlike typical femoral fractures, which usually result from high-impact trauma, atypical fractures can occur with minimal or no trauma, often in patients with underlying bone density issues. The fracture typically occurs in the subtrochanteric region or diaphysis of the femur and may present with prodromal symptoms such as thigh or groin pain prior to the fracture event. Diagnosis is confirmed through imaging studies, including X-rays or MRI, which reveal the characteristic features of the fracture. Management often involves surgical intervention, such as intramedullary nailing, and addressing the underlying bone metabolism disorder to prevent future fractures. Understanding the clinical context and risk factors associated with atypical femoral fractures is crucial for accurate coding and treatment planning.
Detailed notes on fracture location, mechanism, and treatment plan.
Patients presenting with low-energy fractures, particularly in older adults or those on osteoporosis medications.
Ensure that all imaging studies are documented and correlate with the diagnosis.
Comprehensive assessment of bone density and metabolic disorders.
Patients with osteoporosis being treated with bisphosphonates who present with atypical fractures.
Document the patient's medication history and any metabolic evaluations performed.
Used when surgical intervention is required for atypical femoral fractures.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the atypical nature of the fracture.
Atypical femoral fractures are significant because they can occur with minimal trauma in patients with osteoporosis, often linked to long-term bisphosphonate use. Recognizing these fractures is crucial for appropriate management and prevention of future fractures.
Atypical femoral fractures typically occur in the subtrochanteric region or diaphysis and may present with prodromal pain. In contrast, typical fractures usually result from high-energy trauma and occur in different locations.
