Pathological fracture in neoplastic disease, unspecified humerus
ICD-10 M84.529 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, unspecified humerus.
Pathological fractures in neoplastic disease occur when a bone is weakened by the presence of a tumor, leading to an increased risk of fracture even with minimal or no trauma. In the case of the unspecified humerus, the fracture can arise from primary bone tumors or metastatic lesions from other cancers. These fractures are often associated with conditions such as osteoporosis, where bone density is compromised, making the bone more susceptible to fractures. The humerus, being a long bone in the upper arm, is particularly vulnerable in patients with malignancies affecting bone metabolism. The diagnosis of a pathological fracture typically involves imaging studies such as X-rays or MRIs, which can reveal the fracture and any underlying neoplastic changes. Treatment may involve surgical intervention, such as fixation or stabilization of the fracture, and addressing the underlying neoplastic disease through chemotherapy, radiation, or other oncological therapies. Accurate coding is essential for proper reimbursement and to reflect the complexity of care provided to these patients.
Detailed history of the neoplastic disease, imaging results, and treatment plans.
Patients with metastatic breast cancer presenting with humeral fractures.
Ensure that the primary cancer diagnosis is clearly documented to support the pathological fracture coding.
Surgical notes, imaging studies, and post-operative care details.
Patients undergoing surgical fixation of a humeral fracture due to underlying malignancy.
Document the type of fracture and any relevant surgical interventions performed.
Used when a patient with a pathological fracture requires joint aspiration.
Document the reason for aspiration and any findings.
Orthopedic specialists should ensure that the procedure is justified based on the patient's condition.
A pathological fracture occurs in a bone weakened by disease, such as cancer or osteoporosis, while a traumatic fracture results from an external force or injury.
