Puerperal osteomalacia
ICD-10 M83.0 is a billable code used to indicate a diagnosis of puerperal osteomalacia.
Puerperal osteomalacia is a condition characterized by the softening of bones that occurs during or after pregnancy due to a deficiency of vitamin D, calcium, or phosphate. This disorder is particularly significant in women who have recently given birth, as the physiological changes during pregnancy can lead to alterations in bone metabolism. The condition can result in decreased bone density, making bones more susceptible to fractures. Symptoms may include bone pain, muscle weakness, and an increased risk of fractures, particularly in the pelvis and spine. Diagnosis typically involves clinical evaluation, imaging studies to assess bone density, and laboratory tests to evaluate vitamin D and mineral levels. Treatment focuses on nutritional supplementation, including vitamin D and calcium, alongside lifestyle modifications to improve bone health. If left untreated, puerperal osteomalacia can lead to significant morbidity due to fractures and chronic pain, necessitating a comprehensive approach to management.
Detailed obstetric history, including gestational age and any complications.
Postpartum women presenting with bone pain or fractures.
Ensure clear documentation of the relationship between pregnancy and bone health.
Thorough evaluation of metabolic bone health, including lab results for vitamin D and calcium.
Patients with a history of nutritional deficiencies presenting with bone pain.
Consideration of other metabolic disorders that may affect bone density.
Used to assess metabolic status in patients with suspected osteomalacia.
Document all lab results and their relevance to the diagnosis.
Endocrinologists may require additional tests for bone metabolism.
Common symptoms include bone pain, muscle weakness, and an increased risk of fractures, particularly in the pelvis and spine.
