Pathological fracture in other disease, unspecified humerus
ICD-10 M84.629 is a billable code used to indicate a diagnosis of pathological fracture in other disease, unspecified humerus.
A pathological fracture is a break in a bone that occurs in an area weakened by disease rather than from trauma. The unspecified humerus indicates that the fracture is located in the upper arm bone but does not specify which part of the humerus is affected. This type of fracture is often associated with conditions that affect bone density and metabolism, such as osteoporosis, osteomalacia, or metastatic bone disease. Patients with these conditions may experience fractures with minimal or no trauma due to the compromised structural integrity of their bones. Osteoporosis, characterized by decreased bone mass and deterioration of bone tissue, is particularly common in older adults and postmenopausal women, leading to an increased risk of fractures. The management of pathological fractures often involves addressing the underlying disease, pain management, and rehabilitation to restore function. Accurate coding is essential for proper treatment planning and reimbursement, as well as for tracking the incidence of fractures related to bone density disorders.
Detailed imaging reports, surgical notes, and follow-up assessments are necessary to confirm the diagnosis and treatment of the fracture.
Patients presenting with fractures after minimal trauma, particularly in older adults with known osteoporosis.
Orthopedic surgeons must document the specific nature of the fracture and any underlying conditions that may have contributed to the fracture.
Documentation of bone density tests, metabolic assessments, and treatment plans for underlying conditions such as osteoporosis.
Patients with osteoporosis presenting with fractures, requiring evaluation of bone health and metabolic status.
Endocrinologists should ensure that the relationship between metabolic disorders and fractures is clearly documented.
Used in conjunction with M84.629 when joint aspiration is performed due to associated swelling.
Document the reason for aspiration and any findings during the procedure.
Orthopedic specialists should ensure that the procedure is clearly linked to the diagnosis of the pathological fracture.
A pathological fracture occurs in a bone weakened by disease, while a traumatic fracture results from an external force or injury. Proper documentation is crucial to differentiate between the two for accurate coding.
