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v1.0.0
ICD-10 Guide
ICD-10 CodesM84.754

M84.754

Billable

Complete transverse atypical femoral fracture, right leg

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M84.754 is a billable code used to indicate a diagnosis of complete transverse atypical femoral fracture, right leg.

Key Diagnostic Point:

A complete transverse atypical femoral fracture is a specific type of fracture that occurs in the femur, typically associated with low-energy trauma or spontaneously in patients with underlying bone density disorders, particularly osteoporosis. This fracture is characterized by a horizontal break across the femur, which can lead to significant morbidity if not diagnosed and treated promptly. Atypical femoral fractures are often linked to long-term bisphosphonate therapy, which is used to treat osteoporosis. Patients may present with thigh pain or discomfort prior to the fracture, and imaging studies such as X-rays or MRI are essential for diagnosis. Treatment usually involves surgical intervention, such as intramedullary nailing, to stabilize the fracture and promote healing. The right leg designation is crucial for accurate coding and treatment planning, as it specifies the affected limb. Understanding the underlying bone metabolism and density disorders is vital for managing these fractures effectively, as they may indicate a need for reevaluation of osteoporosis management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of atypical fracture mechanisms
  • Differentiation from other types of femoral fractures
  • Association with osteoporosis and medication history
  • Specificity of laterality (right leg)

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to document prior history of osteoporosis
  • Lack of imaging reports to support diagnosis
  • Misidentification of fracture laterality

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

Patients presenting with thigh pain, history of osteoporosis, or recent falls.

Billing Considerations

Ensure accurate documentation of fracture characteristics and any surgical interventions performed.

Endocrinology

Documentation Requirements

Assessment of bone density, medication history, and management of osteoporosis.

Common Clinical Scenarios

Patients with osteoporosis on bisphosphonates presenting with atypical fractures.

Billing Considerations

Documenting the patient's overall bone health and any changes in treatment plans.

Coding Guidelines

Inclusion Criteria

Use M84.754 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated conditions
  • Include details on the patient's history of osteoporosis and any relevant imaging studies

Exclusion Criteria

Do NOT use M84.754 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20670CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used in conjunction with fracture management if joint involvement is suspected.

Documentation Requirements

Document the reason for aspiration and findings.

Specialty Considerations

Orthopedic specialists should ensure clarity in documentation regarding joint status.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of atypical fractures, improving the ability to track and manage these conditions effectively. M84.754 provides a clear designation for complete transverse atypical femoral fractures, enhancing data accuracy for treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of atypical fractures, improving the ability to track and manage these conditions effectively. M84.754 provides a clear designation for complete transverse atypical femoral fractures, enhancing data accuracy for treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of atypical fractures, improving the ability to track and manage these conditions effectively. M84.754 provides a clear designation for complete transverse atypical femoral fractures, enhancing data accuracy for treatment outcomes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding M84.754 accurately?

Accurate coding of M84.754 is crucial for appropriate treatment planning, reimbursement, and tracking of atypical femoral fractures, which are often linked to osteoporosis and bisphosphonate therapy. It ensures that patients receive the necessary follow-up care and management for their bone health.