Pathological fracture, other site
ICD-10 M84.48 is a billable code used to indicate a diagnosis of pathological fracture, other site.
A pathological fracture is defined as a fracture that occurs in a bone weakened by disease, such as osteoporosis, malignancy, or metabolic bone disorders. The term 'other site' indicates that the fracture does not fall into the more commonly specified categories, such as those of the hip, vertebrae, or wrist. Patients with low bone density disorders, such as osteoporosis, are at increased risk for these types of fractures due to the compromised structural integrity of their bones. Osteoporosis is characterized by reduced bone mass and deterioration of bone tissue, leading to increased fragility and susceptibility to fractures from minimal trauma. Pathological fractures can occur in various locations, including the pelvis, ribs, and long bones, and may present with pain, swelling, and functional impairment. 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, notes on fracture location, and underlying conditions.
Patients presenting with fractures after minimal trauma, particularly in older adults.
Ensure that the documentation clearly distinguishes between traumatic and pathological fractures.
Comprehensive assessment of bone density, history of osteoporosis, and treatment plans.
Patients with osteoporosis experiencing fractures, requiring management of bone health.
Document any medications affecting bone metabolism, such as bisphosphonates or corticosteroids.
Used when a patient with a pathological fracture requires joint aspiration due to swelling.
Document the reason for the procedure and the patient's history of fractures.
Orthopedic specialists should ensure that the procedure is linked to the diagnosis of the pathological fracture.
A pathological fracture occurs in a bone weakened by disease, while a traumatic fracture results from an external force or injury. Proper documentation is essential to differentiate between the two for accurate coding.
