Pathological fracture in neoplastic disease, right femur
ICD-10 M84.551 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, right femur.
A pathological fracture in the context of 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 specifically located in the right femur. Neoplastic diseases can lead to changes in bone metabolism, resulting in decreased bone density and structural integrity. This can occur due to direct invasion of the bone by a tumor, or as a result of systemic effects of cancer, such as osteolytic lesions. Patients with conditions like osteoporosis or metastatic cancer are particularly at risk for such fractures. The clinical presentation may include localized pain, swelling, and decreased mobility. Diagnosis typically involves imaging studies such as X-rays or MRI to confirm the fracture and assess the extent of the underlying neoplastic process. Management may include surgical intervention, pain management, and treatment of the underlying neoplastic disease. Accurate coding is essential for appropriate treatment planning and reimbursement.
Detailed documentation of the type and stage of cancer, treatment history, and any imaging studies.
Patients with metastatic breast cancer presenting with a femoral fracture.
Ensure that the relationship between the neoplasm and the fracture is clearly documented.
Complete assessment of the fracture, including imaging results and treatment plan.
Patients with a history of bone metastases presenting with acute pain and inability to bear weight.
Document the mechanism of injury and any prior treatments for the neoplastic disease.
Used when surgical intervention is required for a pathological fracture.
Surgical notes, imaging studies, and pre-operative assessments.
Orthopedic surgeons should document the relationship between the fracture and the neoplasm.
A pathological fracture occurs in a bone weakened by disease, such as cancer, while a traumatic fracture results from an external force or injury.
