One example is how to correctly code a case in which the patient has both osteoporosis and a current pathological fracture. The 2012 ICD-10-CM Official Guidelines for Coding and Reporting contains advice regarding the proper application of diagnosis codes from specific code categories. Guidance varies regarding cause-and-effect relationship In ICD-10 Pathologic is now an assumed link, Subject: I saw your question about pathologic fracture on the CDI talk site. But the situations I am asking about is when there is NO prior confirmed diagnosis of osteoporosis. I do understand from below which was sent as a response (thank you!), that if the osteoporosis was previously diagnosed that a link would be assumed with icd10. If so, does anyone have any literature to support this? My physicians are wanting to see some literature before they would begin this. Thoughts? Any literature to support either side out there? Would it be appropriate without a confirmed diagnosis.and just based on the mechanism being GLF in pt >50 yrs old to state Pathological fracture due to possible Osteoporosis? aren't sure that you can and aren't comfortable doing that. My orthopedic physician assistant felt that based on the 'Own the bone' etc literature that you could presume osteoporosis based on mechanism of injury.without any other definitive diagnostic test to confirm osteoporosis. There has never been a Dexascan to confirm the diagnosis.Įxample: Pt 54 has ground level fall and fractures hip. when there is NO definitive diagnosis of Osteoporosis prior to the fracture. My question is, Can (Is it appropriate/standard of practice) a physician document 'pathologic fracture due to Osteoporosis'. I think I didn't ask the question well initially. Thanks for taking the time if you have any information. I had put this question out previously and thought I would put this out there again. If the fractures are caused by a disease that makes them hard to heal, your doctor may opt for surgical procedures such as internal fixation or fusion.Hi all, Hoping someone can help me with this. Other potential treatment options include: The initial treatment could be as simple as resting and avoiding the activities that stress the affected area. The treatment usually depends on the underlying medical condition. Certain laboratory tests may be performed to assess calcium levels, and a biopsy (examination of tissue) may be performed to determine the exact cause of the fracture. Your doctor will conduct a physical examination and evaluate your medical history followed by an X-ray, MRI, or CT scan depending on your specific condition. If untreated, pathological fractures may lead to functional decline and risk of disability. Numbness and/or weakness in your legs and/or arms.Tingling, numbness, or weakness near the broken bone.Tenderness, bruising, and swelling near the broken bone.Mild to severe pain near the fractured bone.Pathological fractures may or may not have symptoms, but may include the following: Osteogenesis imperfecta, also known as brittle bone disease (a genetic disorder).Noncancerous tumors and cysts (lumps or swellings).Osteomalacia: A disease that softens the bones through the deficiency of vitamin D, thereby negatively impacting calcium absorption.Cancer: An abnormal cell growth on the bones, eventually weakening them and causing a break.Osteoporosis: A condition in which your bone starts to deteriorate and becomes too porous.Diseases Causing Pathological FracturesĬommon diseases that cause pathological fractures include: Some underlying diseases can weaken the bones making them brittle and eventually causing a fracture or break in the bone. Pathological fractures are broken bones in an area already weakened by another disease, not by an injury.
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