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2025 ICD-10-CM code M84.58

Pathological fracture in neoplastic disease of other specified site.

Consult the official ICD-10-CM coding guidelines for detailed information on appropriate code selection, sequencing, and any specific instructions relevant to pathological fractures.Always use the most specific code available.

Modifiers may be used to indicate the location of the fracture (e.g., laterality), the type of procedure, and other relevant circumstances. Consult the specific payer guidelines for appropriate modifier usage.

Medical necessity is established by demonstrating a pathological fracture resulting from a pre-existing neoplasm, necessitating medical intervention such as pain management, fracture stabilization, or treatment of the underlying condition.Justification should include clinical findings supporting the diagnosis and the rationale for the selected treatment approach.

The clinical responsibility involves diagnosing the pathological fracture (through history, physical examination, and imaging), determining the underlying neoplasm, and coordinating treatment that might include pain management, fracture stabilization, and treatment of the cancer.This often requires collaboration between orthopedics, oncology, and potentially other specialties.

IMPORTANT:Additional codes may be necessary to specify the location of the fracture and the type of neoplasm.Seventh character codes (A, D, G, K, P, S) are used to indicate the encounter (initial or subsequent) and the healing status of the fracture.Consider also codes for the underlying neoplasm.

In simple words: A broken bone caused by a tumor in a specific part of the body. The bone breaks easily because the tumor weakens it. Doctors use X-rays and other scans to diagnose this condition. Treatment involves pain relief, possibly surgery to repair the break, and treatment of the tumor.

This code signifies a fracture occurring in a bone weakened by a benign or malignant neoplasm (tumor) at a site other than those specifically listed elsewhere in the ICD-10-CM classification.The fracture results from minimal or no trauma, unlike a traumatic fracture.The diagnosis is established through patient history, physical examination (assessing range of motion), imaging studies (X-rays, MRI, CT, PET scans, bone scans), blood tests to detect neoplasms, and potentially a bone biopsy.Treatment may encompass pain management (analgesics), fracture stabilization (casting), physical therapy, treatment of the underlying neoplasm, and/or surgical intervention.

Example 1: A 70-year-old female with a history of breast cancer presents with sudden onset of severe back pain.Imaging reveals a compression fracture of a vertebra due to metastatic disease. The code M84.58 is used, along with codes specifying the location (vertebral fracture) and the type of cancer (breast cancer)., A 65-year-old male with multiple myeloma experiences a spontaneous fracture of the femur.Imaging confirms the fracture.M84.58 is used with codes for the femur fracture location and the underlying multiple myeloma diagnosis., A 50-year-old female with lung cancer develops a pathological fracture of the humerus after a minor fall.The fracture is surgically repaired.The code M84.58 is used, along with codes for the fracture location, the type of surgery, and the underlying lung cancer.

Complete patient history, physical examination findings, imaging reports (X-rays, CT, MRI, bone scan), laboratory results (blood tests to detect the neoplasm), pathology reports (if biopsy was performed), operative reports (if surgery was done), and details about the treatment plan.

** Always code the underlying neoplasm.Additional codes are required to specify the location and type of fracture, and any further procedures undertaken.

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