2025 ICD-10-CM code M84.359P
Stress fracture of the hip, unspecified, subsequent encounter for fracture with malunion.
Medical necessity for subsequent care is established by the presence of malunion, which can cause pain, impaired mobility, and long-term complications.Further treatment, such as surgery or physical therapy, may be necessary to address these issues.
Diagnosis and treatment of stress fractures typically involve physical examination, medical history review, laboratory tests (e.g., calcium and vitamin D levels), and imaging studies (X-ray, MRI, bone scan). Treatment options may include rest, immobilization (splint or cast), pain medication (NSAIDs), and in severe cases, surgery.
- Diseases of the musculoskeletal system and connective tissue (M00-M99)
- Disorders of bone density and structure (M80-M85)Osteopathies and chondropathies (M80-M94)
In simple words: This code refers to a follow-up visit for a stress fracture in the hip area that has healed incorrectly, resulting in the bones not being aligned properly.
Stress fracture, hip, unspecified, subsequent encounter for fracture with malunion. This code describes a stress fracture of the hip that has healed in a malunited position.It is used for subsequent encounters after the acute fracture has been addressed.
Example 1: A patient is seen for a follow-up appointment after being diagnosed with a stress fracture of the hip. The fracture has healed, but the bones have not aligned correctly, resulting in a malunion., An athlete who experienced a stress fracture in the hip is seen for a follow-up visit. Imaging reveals that the fracture has healed with malunion, potentially requiring surgical intervention to correct the alignment., A patient with a history of osteoporosis presents with ongoing hip pain after a fall. Imaging confirms a stress fracture that has healed in a malunited position, requiring further treatment.
Documentation should include details of the initial stress fracture diagnosis, treatment provided, evidence of malunion (e.g., imaging reports), and the patient's current symptoms and functional limitations.
- Specialties:Orthopedic Surgery, Sports Medicine, Physical Medicine and Rehabilitation
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital (if surgery is required)