Atypical femoral fracture
ICD-10 M84.75 is a billable code used to indicate a diagnosis of atypical femoral fracture.
An atypical femoral fracture is a specific type of fracture that occurs in the femur, typically associated with low-energy trauma or no trauma at all. These fractures are often linked to long-term use of bisphosphonates, medications commonly prescribed for osteoporosis and other bone density disorders. Clinically, atypical femoral fractures are characterized by specific radiographic features, including a transverse or short oblique fracture pattern, located in the subtrochanteric region or diaphysis of the femur. Patients may present with thigh or groin pain prior to the fracture, which can be a warning sign. The underlying pathophysiology involves alterations in bone metabolism, leading to decreased bone quality and strength, making the bone more susceptible to fractures. Diagnosis is typically confirmed through imaging studies, and management may involve surgical intervention, particularly if the fracture is displaced. Understanding the risk factors, including prolonged bisphosphonate therapy, is crucial for prevention and management of these fractures.
Detailed imaging reports, surgical notes, and patient history regarding osteoporosis treatment.
Patients presenting with thigh pain and a history of bisphosphonate use, or those with recent low-energy femoral fractures.
Ensure that the fracture is documented as atypical and that all relevant imaging is included.
Comprehensive patient history regarding bone density disorders and medication use.
Patients with osteoporosis being treated with bisphosphonates who present with fractures.
Documentation should include details on bone density tests and treatment history.
Used when surgical intervention is required for atypical femoral fractures.
Operative reports detailing the fracture type and surgical approach.
Orthopedic documentation must clearly indicate the atypical nature of the fracture.
An atypical femoral fracture is a specific type of fracture that occurs in the femur, often associated with long-term bisphosphonate therapy for osteoporosis. It typically presents with unique radiographic features and may occur with minimal or no trauma.
