Pathological fracture in other disease, ulna and radius
ICD-10 M84.63 is a billable code used to indicate a diagnosis of pathological fracture in other disease, ulna and radius.
Pathological fractures occur when bones break due to underlying diseases rather than from trauma. In the case of M84.63, the fractures specifically involve the ulna and radius, which are the two long bones in the forearm. These fractures are often associated with conditions that affect bone density and metabolism, such as osteoporosis, osteogenesis imperfecta, or metastatic bone disease. Osteoporosis, a common condition particularly in postmenopausal women, leads to decreased bone density and increased fragility, making bones more susceptible to fractures even with minimal or no trauma. Other diseases that may contribute to pathological fractures include chronic kidney disease, hyperparathyroidism, and certain malignancies that metastasize to bone. The clinical presentation may vary, but patients often report pain, swelling, and decreased function in the affected limb. Diagnosis typically involves imaging studies such as X-rays or CT scans, and management may include pain control, stabilization of the fracture, and treatment of the underlying disease to improve bone health.
Detailed notes on fracture type, location, and any underlying conditions.
Patients presenting with fractures after minimal trauma, particularly in older adults.
Ensure that the underlying disease is clearly documented to support the use of M84.63.
Documentation of bone density tests and management of osteoporosis or other metabolic bone diseases.
Patients with osteoporosis presenting with fractures or those undergoing treatment for metabolic bone disorders.
Linking the fracture to the metabolic disorder is crucial for accurate coding.
Used when a patient with a pathological fracture requires joint aspiration.
Document the reason for the procedure and the joint involved.
Orthopedic specialists should ensure that the fracture is documented as pathological.
A pathological fracture occurs due to an underlying disease that weakens the bone, while a traumatic fracture results from an external force or injury.
