Pathological fracture in neoplastic disease, humerus
ICD-10 M84.52 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, humerus.
A pathological fracture in the humerus due to neoplastic disease occurs when a tumor, either benign or malignant, weakens the bone structure, leading to an increased risk of fracture even with minimal or no trauma. This condition is often seen in patients with primary bone tumors, metastatic cancer, or hematological malignancies that affect bone integrity. The humerus, being a long bone, is particularly susceptible to such fractures when neoplastic lesions invade the bone, disrupting normal bone metabolism and density. Patients may present with pain, swelling, or deformity in the arm, and imaging studies such as X-rays or MRIs are typically employed to confirm the diagnosis. Treatment may involve surgical intervention, such as stabilization or resection of the affected area, alongside oncological management of the underlying neoplastic disease. Understanding the interplay between bone density disorders, such as osteoporosis, and neoplastic diseases is crucial, as these conditions can exacerbate the risk of fractures, complicating patient management and recovery.
Detailed documentation of the cancer diagnosis, treatment history, and any related complications.
Patients with metastatic cancer presenting with bone pain and fractures.
Ensure that the relationship between the neoplasm and the fracture is clearly established.
Comprehensive notes on the fracture type, treatment plan, and follow-up care.
Management of fractures in patients with known malignancies.
Document any surgical interventions and the rationale for treatment choices.
Used when a patient with a pathological fracture requires joint aspiration due to swelling.
Document the reason for the procedure and any findings.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
M84.52 is specifically for pathological fractures due to neoplastic disease, while S42.2 is for traumatic fractures of the humerus. Accurate documentation is crucial to determine the correct code.
