icd 10 code for pathological vertebral fracture

What is a pathological vertebral 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).

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 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 difference between a pathological fracture and a traumatic fracture?

Examples of traumatic fractures include fractures resulting from a fall, blunt injury or a motor vehicle accident1. There are several types of traumatic fractures, which include transverse, oblique, spiral, angulated and displaced fractures. A pathological fracture results from a break of a diseased or weakened bone.

How do you find the pathological fracture in ICD-10?

ICD-10 Code for Pathological fracture, other site, initial encounter for fracture- M84. 48XA- Codify by AAPC.

Is an osteoporotic fracture a pathological 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 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.

What characterizes a pathologic fracture?

Pathologic fractures occur through areas of weakened bone attributed to either primary malignant lesions, benign lesions, metastasis, or underlying metabolic abnormalities, with the common factor being altered skeletal biomechanics secondary to pathologic bone.

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.

What is the most common pathologic fracture associated with osteoporosis?

Consistent with current clinical experience, the fractures rated most likely due to osteoporosis were the femoral neck, pathologic fractures of the vertebrae, and lumbar and thoracic vertebral fractures. The fractures rated least likely due to osteoporosis were open proximal humerus fractures, skull, and facial bones.

How do you code a fractured vertebrae?

Vertebral Fracture Coding in ICD-10-CMM80. 08XA (Age-related osteoporosis with current pathological fracture, vertebra[e], initial encounter for fracture) can be used to specify an osteoporotic vertebral fracture that occurs as a result of aging.M80.

What are some causes of pathologic fractures?

Only a small number of conditions are commonly responsible for pathological fractures, including osteoporosis, osteomalacia, Paget's disease, Osteitis, osteogenesis imperfecta, benign bone tumours and cysts, secondary malignant bone tumours and primary malignant bone tumours.

What is the main term for coding pathological fracture of the hip?

M84. 459A - Pathological fracture, hip, unspecified [initial encounter for fracture] | ICD-10-CM.

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.

How many pathological fractures are there in the MCC?

542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc

When will the ICd 10 M84.58XA be released?

The 2022 edition of ICD-10-CM M84.58XA became effective on October 1, 2021.

What is the ICd 10 code for neoplastic disease?

Pathological fracture in neoplastic disease, other specified site 1 M00-M99#N#2021 ICD-10-CM Range M00-M99#N#Diseases of the musculoskeletal system and connective tissue#N#Note#N#Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition#N#Type 2 Excludes#N#arthropathic psoriasis ( L40.5-)#N#certain conditions originating in the perinatal period ( P04 - P96)#N#certain infectious and parasitic diseases ( A00-B99)#N#compartment syndrome (traumatic) ( T79.A-)#N#complications of pregnancy, childbirth and the puerperium ( O00-O9A)#N#congenital malformations, deformations, and chromosomal abnormalities ( Q00-Q99)#N#endocrine, nutritional and metabolic diseases ( E00 - E88)#N#injury, poisoning and certain other consequences of external causes ( S00-T88)#N#neoplasms ( C00-D49)#N#symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94)#N#Diseases of the musculoskeletal system and connective tissue 2 M84#N#ICD-10-CM Diagnosis Code M84#N#Disorder of continuity of bone#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 2 Excludes#N#traumatic fracture of bone-see fracture, by site#N#Disorder of continuity of bone 3 M84.5#N#ICD-10-CM Diagnosis Code M84.5#N#Pathological fracture in neoplastic disease#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Code Also#N#underlying neoplasm#N#Pathological fracture in neoplastic disease

When will the ICd 10-CM M84.58 be released?

The 2022 edition of ICD-10-CM M84.58 became effective on October 1, 2021.

How many pathological fractures are there in the MCC?

542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc

When will the ICD-10-CM M80.08XA be released?

The 2022 edition of ICD-10-CM M80.08XA became effective on October 1, 2021 .

What is a pathologic fracture?

A pathologic bone fracture due to osteoporosis. It is generally caused by a fall from a standing height or lower and usually involves the spine, hip, or wrist.

What is the ICd 10 code for osteoporosis?

Osteoporosis with current pathological fracture M80- 1 collapsed vertebra NOS (#N#ICD-10-CM Diagnosis Code M48.5#N#Collapsed vertebra, not elsewhere classified#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Applicable To#N#Collapsed vertebra NOS#N#Compression fracture of vertebra NOS#N#Wedging of vertebra NOS#N#Type 1 Excludes#N#current injury - see Injury of spine, by body region#N#fatigue fracture of vertebra ( M48.4)#N#pathological fracture of vertebra due to neoplasm ( M84.58)#N#pathological fracture of vertebra due to other diagnosis ( M84.68)#N#pathological fracture of vertebra due to osteoporosis ( M80.-)#N#pathological fracture NOS ( M84.4-)#N#stress fracture of vertebra ( M48.4-)#N#traumatic fracture of vertebra ( S12.-, S22.-, S32.-)#N#M48.5) 2 pathological fracture NOS (#N#ICD-10-CM Diagnosis Code M84.4#N#Pathological fracture, not elsewhere classified#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Applicable To#N#Chronic fracture#N#Pathological fracture NOS#N#Type 1 Excludes#N#collapsed vertebra NEC ( M48.5)#N#pathological fracture in neoplastic disease ( M84.5-)#N#pathological fracture in osteoporosis ( M80.-)#N#pathological fracture in other disease ( M84.6-)#N#stress fracture ( M84.3-)#N#traumatic fracture ( S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)#N#Type 2 Excludes#N#personal history of (healed) pathological fracture ( Z87.311)#N#M84.4) 3 wedging of vertebra NOS (#N#ICD-10-CM Diagnosis Code M48.5#N#Collapsed vertebra, not elsewhere classified#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Applicable To#N#Collapsed vertebra NOS#N#Compression fracture of vertebra NOS#N#Wedging of vertebra NOS#N#Type 1 Excludes#N#current injury - see Injury of spine, by body region#N#fatigue fracture of vertebra ( M48.4)#N#pathological fracture of vertebra due to neoplasm ( M84.58)#N#pathological fracture of vertebra due to other diagnosis ( M84.68)#N#pathological fracture of vertebra due to osteoporosis ( M80.-)#N#pathological fracture NOS ( M84.4-)#N#stress fracture of vertebra ( M48.4-)#N#traumatic fracture of vertebra ( S12.-, S22.-, S32.-)#N#M48.5)