icd-10 code for pathological fracture in neoplastic disease

Full Answer

What is the ICD 10 code for neoplastic fracture?

Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture. M84.58XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM M84.58XA became effective on October 1, 2018.

What is the ICD 10 code for lumbar radiculopathy?

M84.58XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M84.58XA became effective on October 1, 2021.

What is a neoplasm vertebra fracture due to tumor?

Pathological fracture of vertebra due to neoplasm Vertebra (back bone) fracture due to tumor ICD-10-CM M84.58XA is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 456 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with mcc

What is pathological fracture in neoplastic disease?

A pathologic fracture is a break in a bone that is caused by an underlying disease. At the Spine Hospital at the Neurological Institute of New York, we specialize in pathologic fractures of vertebrae, or bones of the spine. For the most part, bones need a reason to break–for example, a significant trauma.

What is the ICD-10 code for pathologic fracture?

Pathological fracture, other site, initial encounter for fracture. M84. 48XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M84.

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 type of fracture is a pathological fracture?

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. You may move wrong or shift your body weight in a way that puts pressure on weak bones.

When an encounter is for a pathological fracture due to a neoplasm and the focus of treatment is the fracture?

When an encounter is for a pathological fracture due to a neoplasm, and the focus of treatment is the fracture, a code from subcategory M84. 5, Pathological fracture in neoplastic disease, should be sequenced first, followed by the code for the neoplasm.

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

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 the difference between a pathological fracture and a stress fracture?

Abstract. Whereas stress fractures occur in normal or metabolically weakened bones, pathologic fractures occur at the site of a bone tumor.

Is a compression fracture the same as a pathological fracture?

Pathological spine fractures are the result of an underlying disease process that affects the spine. They are called vertebral compression fractures and are common, and frequent in the elderly. They may be caused by osteoporosis, Paget's disease, other diseases and spinal infections (osteomyelitis).

Is 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).

Where do pathological fractures occur?

Pathologic fractures most commonly occur in the proximal humerus and humeral shaft.

What is impending pathological fracture?

Pathologic fractures (complete or impending) are skeletal-related events (SREs) that can occur in patients with bone metastases from advanced cancer. Other SREs include pain, hypercalcemia, and spinal cord compression. A pathologic fracture is defined as a fracture that develops through an area of bone pathology.

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier.

ICD-10-CM Alphabetical Index References for 'M84.50 - Pathological fracture in neoplastic disease, unspecified site'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code M84.50. Click on any term below to browse the alphabetical index.