Pathological fracture in neoplastic disease
ICD-10 M84.5 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease.
Pathological fractures in neoplastic disease occur when a bone breaks due to the weakening of the bone structure caused by a tumor, either benign or malignant. These fractures are often associated with conditions such as metastatic cancer, where cancer cells spread to the bone, leading to bone destruction and decreased structural integrity. Patients with primary bone tumors, such as osteosarcoma or multiple myeloma, are also at risk. The fractures can occur with minimal or no trauma, distinguishing them from typical fractures. The clinical presentation may include localized pain, swelling, and decreased mobility. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the extent of the fracture and the underlying neoplastic process. Management may involve surgical intervention, radiation therapy, or pharmacological treatment to strengthen bone density and manage pain. Understanding the relationship between neoplastic diseases and bone metabolism is crucial for effective treatment and coding.
Detailed history of cancer diagnosis, treatment history, and current status.
Patients presenting with fractures during or after cancer treatment.
Ensure clear documentation of the relationship between the neoplasm and the fracture.
Comprehensive assessment of fracture type, location, and treatment plan.
Management of fractures in patients with known malignancies.
Document the impact of the neoplasm on bone health and fracture risk.
Used in conjunction with M84.5 for pain management in patients with pathological fractures.
Document the indication for the procedure and the patient's fracture history.
Orthopedic specialists should ensure that the fracture's impact on joint function is noted.
A pathological fracture occurs due to underlying disease processes, such as neoplastic disease, that weaken the bone, while a traumatic fracture results from an external force or injury.
