Pathological fracture in neoplastic disease, right fibula
ICD-10 M84.563 is a billable code used to indicate a diagnosis of pathological fracture in neoplastic disease, right fibula.
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 fibula. Neoplastic diseases can lead to alterations in bone density and metabolism, often resulting in weakened bone structure. Patients with conditions such as metastatic cancer, primary bone tumors, or hematological malignancies may experience pathological fractures due to the infiltration of cancer cells into the bone, which disrupts normal bone remodeling processes. This can lead to decreased bone density and increased susceptibility to fractures even with minimal or no trauma. The management of such fractures often involves addressing the underlying neoplastic condition, which may include surgical intervention, radiation therapy, or systemic treatments. Accurate coding of pathological fractures is crucial for appropriate treatment planning and reimbursement, as it reflects the complexity of the patient's condition and the need for comprehensive care.
Detailed documentation of the type of neoplasm, treatment history, and any imaging studies.
Patients with metastatic cancer presenting with bone pain and fractures.
Ensure that the relationship between the neoplasm and the fracture is clearly documented.
Comprehensive assessment of the fracture, including imaging results and treatment plans.
Management of fractures in patients with known malignancies or those undergoing treatment.
Document the mechanism of injury and any relevant comorbidities affecting bone health.
Used in conjunction with M84.563 when joint aspiration is performed due to associated swelling.
Document the reason for aspiration and any findings.
Orthopedic specialists should note the relationship between the fracture and joint involvement.
A pathological fracture occurs in a bone weakened by disease, such as cancer, while a traumatic fracture results from an external force or injury.
