Pathological fracture, left femur
ICD-10 M84.452 is a billable code used to indicate a diagnosis of pathological fracture, left femur.
A pathological fracture of the left femur occurs when the bone breaks due to underlying conditions that weaken the bone structure, rather than from a traumatic injury. Common causes include osteoporosis, metastatic cancer, or other bone density disorders. Osteoporosis, characterized by decreased bone mass and deterioration of bone tissue, significantly increases the risk of fractures, particularly in older adults. In patients with osteoporosis, even minor falls or stresses can lead to fractures. The left femur, being one of the largest and strongest bones in the body, can still succumb to these conditions, resulting in significant morbidity. Diagnosis typically involves imaging studies such as X-rays or MRIs to confirm the fracture and assess the underlying bone quality. Treatment may include surgical intervention, such as fixation or replacement, alongside management of the underlying condition to prevent future fractures. Proper documentation of the fracture's cause, the patient's bone health status, and any relevant comorbidities is essential for accurate coding and reimbursement.
Detailed notes on fracture type, location, and treatment plan, including imaging results.
Patients presenting with fractures after minimal trauma, particularly in older adults.
Ensure documentation reflects the underlying bone health status and any interventions for osteoporosis.
Documentation of bone density tests, metabolic bone disease evaluations, and treatment plans.
Patients with osteoporosis or other metabolic bone disorders experiencing fractures.
Focus on the management of underlying conditions that contribute to bone fragility.
Used when surgical intervention is required for a pathological fracture of the femur.
Surgical notes, imaging studies, and pre-operative assessments.
Orthopedic surgeons must document the rationale for surgery and the patient's bone health status.
A pathological fracture occurs due to underlying bone disease or weakness, while a traumatic fracture results from an external force or injury. Proper documentation is essential to differentiate between the two for accurate coding.
