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ICD-10 Guide
ICD-10 CodesM84.753

M84.753

Billable

Incomplete atypical femoral fracture, unspecified leg

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M84.753 is a billable code used to indicate a diagnosis of incomplete atypical femoral fracture, unspecified leg.

Key Diagnostic Point:

An incomplete atypical femoral fracture is a type of fracture that occurs in the femur, typically associated with low-energy trauma or stress, often seen in patients with underlying bone density disorders such as osteoporosis. These fractures are characterized by their atypical location and presentation, often occurring in the subtrochanteric region of the femur. Patients may present with thigh pain or discomfort, and the fracture may not be visible on initial X-rays, necessitating further imaging studies. The condition is particularly concerning in individuals with compromised bone health, as it may indicate a higher risk for future fractures. The management of incomplete atypical femoral fractures often involves conservative treatment, including rest, analgesics, and possibly bisphosphonates to improve bone density. Monitoring bone health and addressing underlying metabolic bone disorders is crucial to prevent further complications. Given the association with medications such as bisphosphonates, it is essential for healthcare providers to evaluate the patient's medication history and overall bone health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of atypical fracture patterns.
  • Involves knowledge of osteoporosis and bone metabolism.
  • Documentation must specify the leg involved.
  • Differentiation from other types of femoral fractures.

Audit Risk Factors

  • Inadequate documentation of fracture specifics.
  • Failure to document underlying bone density disorders.
  • Misclassification of fracture type.
  • Lack of imaging studies to support diagnosis.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, clinical notes on fracture assessment, and treatment plans.

Common Clinical Scenarios

Patients presenting with thigh pain and a history of low-energy trauma.

Billing Considerations

Ensure clear documentation of atypical fracture characteristics and any underlying osteoporosis.

Endocrinology

Documentation Requirements

Bone density test results, medication history, and metabolic assessments.

Common Clinical Scenarios

Patients with osteoporosis or other metabolic bone diseases experiencing fractures.

Billing Considerations

Document the relationship between bone metabolism disorders and fracture risk.

Coding Guidelines

Inclusion Criteria

Use M84.753 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the fracture type and any associated conditions
  • Include details about the leg involved and any relevant history of osteoporosis or other bone density disorders

Exclusion Criteria

Do NOT use M84.753 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used in conjunction with fracture management for pain relief.

Documentation Requirements

Document the procedure performed, indication for aspiration/injection, and any imaging results.

Specialty Considerations

Orthopedic specialists should ensure clear linkage between the procedure and the fracture diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of atypical fractures, improving the ability to track and manage conditions related to bone density disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of atypical fractures, improving the ability to track and manage conditions related to bone density disorders.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of atypical fractures, improving the ability to track and manage conditions related to bone density disorders.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding M84.753?

Coding M84.753 accurately reflects the patient's condition and helps in tracking the incidence of atypical femoral fractures, which are often associated with osteoporosis and specific medications.