Pathological fracture in other disease, unspecified hand
ICD-10 M84.649 is a billable code used to indicate a diagnosis of pathological fracture in other disease, unspecified hand.
M84.649 refers to a pathological fracture occurring in the hand due to an underlying disease process, rather than from a traumatic injury. This code is often associated with conditions that affect bone density and metabolism, such as osteoporosis, osteogenesis imperfecta, or metastatic bone disease. Pathological fractures can occur when the structural integrity of the bone is compromised due to these diseases, leading to fractures even with minimal or no trauma. In the case of the hand, these fractures may involve the phalanges, metacarpals, or carpal bones. The diagnosis requires careful evaluation of the patient's medical history, including any known bone density disorders, and may necessitate imaging studies to confirm the presence of a fracture and assess the underlying bone condition. Treatment typically involves addressing the underlying disease, managing pain, and ensuring proper healing of the fracture, which may include immobilization or surgical intervention depending on the severity and location of the fracture.
Detailed notes on fracture assessment, treatment plan, and follow-up care.
Patients with osteoporosis presenting with wrist fractures after minimal trauma.
Ensure clear documentation of the fracture's pathological nature and any underlying conditions.
Comprehensive evaluation of bone density and metabolic disorders.
Patients with metabolic bone diseases presenting with fractures.
Document any hormonal treatments or interventions affecting bone health.
Used when a patient with a pathological fracture requires joint aspiration.
Document the reason for the procedure and any findings.
Orthopedic specialists should ensure clear documentation of the fracture and its implications.
A pathological fracture occurs due to an underlying disease that weakens the bone, while a traumatic fracture results from an external force or injury. Proper documentation is crucial to differentiate between the two.
