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2025 ICD-10-CM code M84.756A

Complete transverse atypical femoral fracture, unspecified leg, initial encounter for fracture.

If applicable, use an external cause code following the code for the musculoskeletal condition to identify the cause of the condition. This code excludes certain conditions like arthropathic psoriasis (L40.5-), perinatal conditions (P04-P96), infectious and parasitic diseases (A00-B99), traumatic compartment syndrome (T79.A-), pregnancy complications (O00-O9A), congenital malformations (Q00-Q99), endocrine/nutritional/metabolic diseases (E00-E88), injuries/poisonings (S00-T88), neoplasms (C00-D49), and unclassified symptoms/signs (R00-R94).

Medical necessity for treatment is established by the presence of a fracture causing pain, functional impairment, or risk of complications.Atypical femoral fractures, due to their specific characteristics and potential underlying causes, often require specialized interventions to promote healing and prevent recurrence.

Diagnosis and management of this condition typically falls under the purview of orthopedic surgeons or other specialists dealing with musculoskeletal disorders.Responsibilities include evaluating the fracture, determining its cause (e.g., bisphosphonate use, underlying bone conditions), and recommending appropriate treatment. This may involve surgical fixation, bracing, pain management, and physical therapy to facilitate healing and restore function.

In simple words: A complete break straight across the thigh bone (femur) in an unusual location, not caused by a major injury. This is the first time the patient is being seen for this fracture.

Complete transverse atypical femoral fracture, unspecified leg, initial encounter for fracture. This condition is characterized by a transverse fracture across the femur, typically located in the subtrochanteric or diaphyseal region. It's considered "atypical" due to its association with minimal trauma or prolonged bisphosphonate use, distinguishing it from typical femoral fractures.

Example 1: A 65-year-old female with a history of osteoporosis and long-term bisphosphonate use presents with thigh pain after a minor fall. Imaging reveals a complete transverse fracture of the right femur in the subtrochanteric region. The fracture pattern is consistent with an atypical femoral fracture., A 70-year-old male with no history of significant trauma experiences sudden onset of left thigh pain while walking.X-rays show a complete transverse fracture of the left femur in the diaphyseal region, and further evaluation suggests an atypical femoral fracture., A 55-year-old female on long-term bisphosphonate therapy complains of persistent thigh pain.Imaging studies reveal a complete, transverse fracture of her femur. The fracture is classified as an atypical femoral fracture due to her bisphosphonate use and absence of trauma.

Documentation should include details about the nature of the fracture (complete, transverse), location on the femur, presence or absence of trauma, patient's medical history (including osteoporosis or bisphosphonate use), imaging findings (e.g., x-rays, CT scans), and treatment plan.

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