What Is A Pathological Fracture And What Are The Dilemmas With Coding These
As a result of this specificity providers must document in some form whether the fracture is traumatic or pathologic non traumatic. For example a traumatic fracture can occur after a car accident or when a person is struck with a heavy object.
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A pathologic fracture is a broken bone that s caused by a disease rather than an injury.
What is a pathological fracture and what are the dilemmas with coding these. A pathologic fracture is a broken bone caused by disease. In icd 9 cm coders must choose from only eight pathologic fracture codes. But pathologic fractures are by definition associated with some underlying disease that would also need to be coded because the treatment involves the whole process.
Icd 10 cm expands the code selection to more than 150 pathologic fracture codes. How can coders tell whether the fracture is traumatic or pathologic. The codes for pathologic fractures with osteoporosis require a seventh character to indicate.
A traumatic fracture is caused by some type of accident fall or other kind of force. Fracture coding has become increasingly more specific in icd 10. A pathologic fracture is a broken bone caused by disease such as osteoporosis or cancer.
A traumatic fracture is caused by some type of accident fall or other kind of force. Icd 9 cm official guidelines for coding and reporting defines active treatment as surgical treatment emergency department encounter and. Look at the circumstances of the injury.
Everyday things such as. These fractures occur during an activity that normally would not cause a fracture such as bending over to pick up a piece of paper. Some conditions weaken your bones which makes them more likely to break.
Personal history of healed other pathological fracture. In icd 10 cm there is one code to indicate a personal history of a pathological fracture. Codes 800 829 for traumatic fractures 733 1x for pathologic fractures and 733 93 733 99 for stress fractures should be reserved for when the patient is receiving active treatment for the fracture.
Fractures associated with trauma are pretty straightforward. While working on the team for ahima s code check tm coding question service i ve noticed several questions related to providing clarification in icd 10 cm for a fracture in a patient with known osteoporosis. 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.
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