icd 10 code for pathological fracture

How is a pathologic fracture diagnosed?

There are six recognized reasons to complete a staging workup prior to biopsy:

• The tumor may be a primary bone sarcoma. ...
• There may be an additional site of metastasis that is more easily accessible and/or associated with less morbidity than the site of the pathologic fracture.
• Pre-operative embolization may be required for intraoperative hemostasis.

More items...

What causes a pathological fracture?

What are the causes?

• Osteoporosis. Osteoporosis is a disease that weakens your bones, making them more likely to break. ...
• Cancer. Cancer is a disease involving unusual cell growth. ...
• Osteomalacia. Osteomalacia is a condition that softens your bones. ...
• Osteomyelitis. Osteomyelitis is an infection in the bone. ...
• Other conditions. Other diseases can also lead to pathologic fractures. ...

What is the nursing diagnosis for fractures?

• C: Acute pain is the most appropriate nursing diagnosis for a patient with fracture.
• A: Risk for electrolyte imbalance is not a nursing diagnosis for a patient with fracture.
• B: Situational low self-esteem is not a nursing diagnosis for a patient with fracture.
• D: Impaired breathing pattern is not a nursing diagnosis for a patient with fracture.

Is that fracture traumatic or pathologic?

Pathological fracture is caused by disease. For example, fractures sustained in an activity that normally would not cause a fracture such as bending over to pick something up or walking up the stairs. Traumatic fracture is caused by some type of accident. For example, fractures sustained in a motor vehicle accident or falling off of a roof.

How do you code a pathological fracture?

A pathological fracture is classified to code 733.1x, with a fifth digit identifying the fracture site. Pathological fractures often occur in the vertebra (733.13), hip (733.14), and wrist (distal radius or Colles' fracture, 733.12).

What is a pathological fracture?

Listen to pronunciation. (PA-thuh-LAH-jik FRAK-sher) A broken bone caused by disease, often by the spread of cancer to the bone.

What type of fracture is a pathological fracture?

Understanding Pathologic Fractures. A fracture is a break in your bone. A break is called a pathologic fracture when force or impact didn't cause the break to happen. Instead, an underlying disease leaves your bones weak and brittle.

What is the difference between a pathological and a traumatic fracture?

A bone fracture is a complete or incomplete discontinuity of bone caused by a direct or indirect force. A pathological bone fracture is a bone fracture which occurs without adequate trauma and is caused by a preexistent pathological bone lesion.

What is the most common pathological fracture?

The femoral neck and head are the most common locations for pathologic fracture because of the propensity for metastases to involve proximal bones and because of the stress of weight placed on this part of the femur.

Is a compression fracture a pathological fracture?

Although all compression fractures have an underlying pathology, the term pathologic vertebral compression fracture (pVCF) is traditionally reserved for fractures that result from primary or metastatic spine tumors.

Is an osteoporotic fracture a type of pathologic fracture?

A vertebral fracture may occur spontaneously and thus be more easily identified as occurring due to a disease (e.g. osteoporosis) and, therefore, coded as a pathologic fracture (ICD9 733.13).

What does without current pathological fracture mean?

Osteoporosis without current pathological fracture A condition of reduced bone mass, with decreased cortical thickness and a decrease in the number and size of the trabeculae of cancellous bone (but normal chemical composition), resulting in increased fracture incidence.

Is a pathological fracture a stress fracture?

Whereas stress fractures occur in normal or metabolically weakened bones, pathologic fractures occur at the site of a bone tumor. Unfortunately, stress fractures may share imaging features with pathologic fractures on plain radiography, and therefore other modalities are commonly utilized to distinguish these entities.

What is considered an osteoporotic fracture?

Osteoporotic fractures (fragility fractures, low-trauma fractures) are those occurring from a fall from a standing height or less, without major trauma such as a motor vehicle accident.

What is a pathologic fracture and what are the dilemmas with coding these types of fractures?

A pathological or fragility fracture is defined as a fracture sustained due to trauma no more severe than a fall from standing height, with the break occurring under circumstances that would not cause a fracture in a normal, healthy bone.

What is pathological fracture?

Pathological fracture, not elsewhere classified M84.4- 1 A broken bone caused by disease, often by the spread of cancer to the bone. 2 Fractures occurring as a result of disease of a bone or from some undiscoverable cause, and not due to trauma. (Dorland, 27th ed)

What is a broken bone?

A broken bone caused by disease, often by the spread of cancer to the bone. Fractures occurring as a result of disease of a bone or from some undiscoverable cause, and not due to trauma. (Dorland, 27th ed) M84.4 Pathological fracture, not elsewhere classified. M84.40 Pathological fracture, unspecified site.