Pathological fracture, tibia and fibula
ICD-10 M84.46 is a billable code used to indicate a diagnosis of pathological fracture, tibia and fibula.
A pathological fracture of the tibia and fibula occurs when these bones break due to underlying bone density disorders, such as osteoporosis or osteomalacia, rather than from a traumatic injury. These fractures are often associated with weakened bone structure, which can result from various metabolic bone diseases that impair bone formation or increase bone resorption. In patients with osteoporosis, for instance, the trabecular and cortical bone density is significantly reduced, leading to an increased risk of fractures even with minimal or no trauma. The tibia and fibula are particularly susceptible to such fractures due to their weight-bearing function and the stress they endure during daily activities. Diagnosis typically involves imaging studies, such as X-rays or CT scans, to confirm the fracture and assess the extent of bone loss. Management may include pain control, stabilization of the fracture, and treatment of the underlying bone density disorder to prevent future fractures. Understanding the etiology and risk factors for pathological fractures is crucial for effective treatment and prevention strategies.
Detailed documentation of fracture type, location, and underlying conditions.
Patients presenting with fractures after minimal trauma, history of osteoporosis.
Ensure clear differentiation between traumatic and pathological fractures.
Comprehensive assessment of metabolic bone diseases and their management.
Patients with osteoporosis or other metabolic bone disorders experiencing fractures.
Documenting the patient's bone density status and treatment history.
Used in conjunction with M84.46 for joint-related issues following a fracture.
Document the reason for the procedure and the joint involved.
Orthopedic specialists may perform this procedure post-fracture.
A pathological fracture occurs due to underlying bone weakness from conditions like osteoporosis, while a traumatic fracture results from an external force or injury.
