Pathological fracture, hip, unspecified
ICD-10 M84.459 is a billable code used to indicate a diagnosis of pathological fracture, hip, unspecified.
A pathological fracture of the hip occurs when the bone breaks due to a disease process rather than from an external force or trauma. This type of fracture is often associated with conditions that weaken bone integrity, such as osteoporosis, metastatic cancer, or other metabolic bone disorders. Osteoporosis, characterized by decreased bone density and quality, significantly increases the risk of fractures, particularly in the hip region, which is a common site for such injuries in older adults. The hip is crucial for mobility, and fractures in this area can lead to severe complications, including prolonged immobility, increased morbidity, and even mortality. Diagnosis typically involves imaging studies such as X-rays or MRIs to confirm the fracture and assess the underlying bone condition. Treatment may include surgical intervention, such as hip replacement, and management of the underlying bone density disorder to prevent future fractures. Accurate coding of pathological fractures is essential for appropriate treatment planning and reimbursement, as well as for tracking the prevalence of osteoporosis and related conditions in the population.
Detailed notes on fracture type, location, and any surgical interventions performed.
Patients presenting with hip pain after minimal trauma, elderly patients with a history of osteoporosis.
Ensure that all imaging studies and their interpretations are documented clearly.
Comprehensive assessment of bone density, metabolic disorders, and treatment plans for osteoporosis.
Patients with diagnosed osteoporosis presenting with fractures, patients on long-term corticosteroid therapy.
Document any medications affecting bone metabolism and their potential side effects.
Performed on patients with pathological fractures of the hip requiring surgical intervention.
Operative reports detailing the procedure and indications for surgery.
Orthopedic surgeons must document the fracture type and any pre-existing conditions.
A pathological fracture occurs due to a disease process that weakens the bone, while a traumatic fracture results from an external force or injury.
