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ICD-10 Guide
ICD-10 CodesM83.4

M83.4

Billable

Aluminum bone disease

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

Code Description

ICD-10 M83.4 is a billable code used to indicate a diagnosis of aluminum bone disease.

Key Diagnostic Point:

Aluminum bone disease, also known as aluminum-related bone disease, is a condition characterized by the accumulation of aluminum in the bones, leading to impaired bone metabolism and density. This condition is often associated with chronic renal failure, where patients may be exposed to aluminum through phosphate binders or contaminated dialysis water. The presence of aluminum disrupts normal bone remodeling processes, resulting in osteomalacia, a condition where bones become soft due to inadequate mineralization. Patients may experience bone pain, increased risk of fractures, and skeletal deformities. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and laboratory tests to assess aluminum levels in the body. Treatment focuses on reducing aluminum exposure, managing underlying renal conditions, and addressing bone health through supplementation and lifestyle modifications. Monitoring bone density is crucial, as patients with aluminum bone disease are at a heightened risk for osteoporosis and fractures, necessitating a multidisciplinary approach to care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of renal disease and aluminum exposure sources
  • Differentiation from other bone density disorders
  • Need for comprehensive patient history and lab results
  • Potential for co-morbid conditions affecting bone health

Audit Risk Factors

  • Inadequate documentation of aluminum exposure
  • Failure to document renal function status
  • Lack of imaging studies to support diagnosis
  • Misclassification with other bone disorders

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed history of renal function, aluminum exposure sources, and treatment plans.

Common Clinical Scenarios

Patients with chronic kidney disease on dialysis presenting with bone pain or fractures.

Billing Considerations

Close monitoring of aluminum levels and renal function is essential for accurate coding.

Endocrinology

Documentation Requirements

Assessment of bone density, metabolic panel results, and treatment for osteoporosis.

Common Clinical Scenarios

Patients with metabolic bone disease requiring evaluation for aluminum-related effects.

Billing Considerations

Documentation should include details on bone density tests and any interventions for osteoporosis.

Coding Guidelines

Inclusion Criteria

Use M83.4 When
  • According to ICD
  • 10 guidelines, M83
  • 4 should be used when there is clear documentation of aluminum exposure and its effects on bone health
  • It is important to include relevant lab results and imaging studies to support the diagnosis

Exclusion Criteria

Do NOT use M83.4 When
  • Exclusion criteria include other primary bone diseases that do not involve aluminum exposure

Related ICD-10 Codes

Related CPT Codes

76937CPT Code

Bone density measurement

Clinical Scenario

Used to assess bone density in patients suspected of having aluminum bone disease.

Documentation Requirements

Include results of the bone density scan and any relevant clinical findings.

Specialty Considerations

Endocrinologists should document the rationale for the test in relation to aluminum exposure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of aluminum-related conditions, improving the accuracy of data collection and reimbursement processes. M83.4 provides a distinct code for aluminum bone disease, facilitating better tracking of this condition in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of aluminum-related conditions, improving the accuracy of data collection and reimbursement processes. M83.4 provides a distinct code for aluminum bone disease, facilitating better tracking of this condition in clinical practice.

Reimbursement & Billing Impact

reimbursement processes. M83.4 provides a distinct code for aluminum bone disease, facilitating better tracking of this condition in clinical practice.

Resources

Clinical References

  • •
    National Kidney Foundation

Coding & Billing References

  • •
    National Kidney Foundation

Frequently Asked Questions

What is aluminum bone disease?

Aluminum bone disease is a condition caused by the accumulation of aluminum in the bones, often seen in patients with chronic kidney disease. It leads to impaired bone metabolism and increased risk of fractures.

How is aluminum bone disease diagnosed?

Diagnosis involves clinical evaluation, imaging studies, and laboratory tests to measure aluminum levels in the body. Symptoms may include bone pain and fractures.

What are the treatment options for aluminum bone disease?

Treatment focuses on reducing aluminum exposure, managing underlying renal conditions, and addressing bone health through supplementation and lifestyle changes.