Pathological fracture in neoplastic disease, unspecified shoulder
ICD-10 M84.519 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, unspecified shoulder.
A pathological fracture in neoplastic disease refers to a fracture that occurs in a bone weakened by the presence of a tumor, either benign or malignant. In this case, the fracture is located in the shoulder region, which includes the proximal humerus, scapula, and clavicle. Neoplastic diseases can lead to bone density disorders, such as osteoporosis, by disrupting normal bone metabolism and remodeling processes. The presence of a tumor can cause localized bone destruction, leading to a significant reduction in bone strength and an increased risk of fractures. Patients with neoplastic diseases may present with pain, swelling, and limited range of motion in the shoulder, and imaging studies such as X-rays or MRIs are often utilized to confirm the diagnosis. Treatment may involve surgical intervention, radiation therapy, or pharmacological management to address both the fracture and the underlying neoplastic condition. Accurate coding of this condition is essential for appropriate reimbursement and to ensure that the patient's medical history reflects the complexity of their condition.
Detailed history of the neoplastic disease, imaging results, and treatment plans.
Patients with metastatic cancer presenting with shoulder pain and fractures.
Ensure that the primary cancer diagnosis is clearly documented to support the fracture coding.
Surgical notes, imaging studies, and post-operative care details.
Patients undergoing surgical intervention for shoulder fractures due to neoplastic disease.
Document the surgical approach and any complications related to the fracture.
Used for pain management in patients with neoplastic disease-related fractures.
Document the indication for the procedure and any imaging studies performed.
Orthopedic specialists should ensure that the procedure is linked to the diagnosis.
A pathological fracture occurs in a bone weakened by disease, such as cancer, while a traumatic fracture results from an external force or injury.
