Pathological fracture, unspecified tibia and fibula
ICD-10 M84.469 is a billable code used to indicate a diagnosis of pathological fracture, unspecified tibia and fibula.
A pathological fracture of the tibia and fibula occurs when these bones break due to underlying conditions that weaken bone structure, rather than from a direct trauma or injury. Common causes include osteoporosis, metastatic cancer, osteogenesis imperfecta, and other metabolic bone diseases. Osteoporosis, characterized by decreased bone density and quality, significantly increases the risk of fractures, particularly in older adults. Pathological fractures can occur with minimal or no trauma, making them distinct from traumatic fractures. The tibia and fibula are critical weight-bearing bones in the lower leg, and fractures in these areas can lead to significant morbidity, including pain, disability, and impaired mobility. Diagnosis typically involves imaging studies such as X-rays or CT scans to confirm the fracture and assess the underlying bone condition. Management may include pain control, stabilization of the fracture, and treatment of the underlying bone density disorder to prevent future fractures.
Detailed imaging reports, history of bone density disorders, and treatment plans.
Patients presenting with fractures after minimal trauma, elderly patients with osteoporosis.
Ensure clear differentiation between traumatic and pathological fractures.
Comprehensive evaluation of metabolic bone diseases, including lab results for calcium and vitamin D levels.
Patients with osteoporosis or other metabolic bone disorders presenting with fractures.
Document the management of underlying conditions affecting bone density.
Used when a patient with a pathological fracture requires joint aspiration.
Document the reason for the procedure and any imaging studies performed.
Orthopedic specialists should ensure clear documentation of the fracture type.
A pathological fracture occurs due to underlying bone disease or weakness, while a traumatic fracture results from an external force or injury.
