How do you code osteoporosis for a fracture?
If a patient is admitted to treat the pathological fracture rather than osteoporosis, the fracture should be sequenced first, followed by the code for osteoporosis. For the fracture, report 733.13 (pathologic fracture of the vertebrae). For the age-related osteoporosis, report code 733.01.
How do you code chronic fractures?
A pathological fracture is classified to code 733.1x, with a fifth digit identifying the fracture site. Osteoporotic fractures often occur in the vertebra (733.13), hip (733.14), and wrist (distal radius or Colles’ fracture, 733.12).
What condition is the failure of the ends of fractured bone segments to reunite?
Sometimes, the broken bone fails to re-join and heal even after treatment. This is called non-union. Non-union occurs when the broken bones do not get sufficient nutrition, blood supply or adequate stability (not immobilized enough) to heal.
When coding of pathologic fractures 7th Character A is for use?
ICD-10-CM Coding Tips:
The seventh character “A” is for use as long as the patient is receiving active treatment for a pathologic fracture. Examples of active treatment include surgical treatment, emergency department encounters and evaluation and treatment by a new physician.
Is a comminuted fracture considered traumatic?
A comminuted fracture is a break or splinter of the bone into more than two fragments. Since considerable force and energy is required to fragment bone, fractures of this degree occur after high-impact trauma such as in vehicular accidents.
Is a spontaneous fracture considered traumatic?
Spontaneous fractures occur in seemingly normal bone with no apparent blunt-force trauma. Spontaneous fracture occurs primarily in two distinct groups of patients: the very active young and the elderly.
What is delayed healing of a fracture?
In some cases, certain risk factors make it more likely that a bone will fail to heal. When a broken bone fails to heal it is called a “nonunion.” A “delayed union” is when a fracture takes longer than usual to heal.
What are the types of fracture injury?
Different types of bone fractures can be open, closed, stable, displaced, partial, or complete.
- Transverse Fracture. Transverse fractures are breaks that are in a straight line across the bone. …
- Spiral Fracture. …
- Greenstick Fracture. …
- Stress Fracture. …
- Compression Fracture. …
- Oblique Fracture. …
- Impacted Fracture. …
- Segmental Fracture.
What happens when fracture don’t heal properly?
After a bone is broken (fractured), the body will start the healing process. If the two ends of the broken bone are not lined up properly, the bone can heal with a deformity called a malunion. A malunion fracture occurs when a large space between the displaced ends of the bone have been filled in by new bone.
What factors may contribute to compartment syndrome?
Compartment syndrome describes increased pressure within a muscle compartment of the arm or leg. It is most often due to injury, such as fracture, that causes bleeding in a muscle, which then causes increased pressure in the muscle. This pressure increase causes nerve damage due to decreased blood supply.
Can a displaced bone heal without surgery?
A bone may not be able to regenerate unless the bone fragments are reassembled and held in place. Several ways to stabilize broken bones without surgery include casts, braces, and slings. If surgery is required to reposition bone fragments, a doctor may use metal screws, rods, and plates to accomplish this.
What is considered a pathological fracture?
A bone fracture is a complete or incomplete discontinuity of bone caused by a direct or indirect force. A pathological bone fracture is a bone fracture which occurs without adequate trauma and is caused by a preexistent pathological bone lesion.
What does the 7th character a indicate in Chapter 19?
The 7th character “A” is the initial encounter and is used while the patient is receiving active treatment for the condition.