ICD 10 CM M84.350A | Description & Clinical Information

ICD 10 M84.350A describes a specific type of injury known as a stress fracture of the pelvis, which is characterized by a small break in the bone that occurs as a result of overuse, repeated injury from high impact sports, or trauma, and this code is used to identify the initial encounter with the patient for the fracture.

Official Description Of M84.350A

The ICD 10 CM book defines ICD 10 code M84.350A as:

Stress fracture, pelvis, initial encounter for fracture
Parent Code Notes: M84.3

Excludes1: pathological fracture NOS (M84.4.-)
pathological fracture due to osteoporosis (M80.-)
traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)

Excludes2: personal history of (healed) stress (fatigue) fracture (Z87.312)
stress fracture of vertebra (M48.4-)

Use additional external cause code(s) to identify the cause of the stress fracture

Parent Code Notes: M84

Excludes2: traumatic fracture of bone-see fracture, by site

When To Use M84.350A

The diagnosis describes by ICD-10-CM code M84.350A refers to a stress fracture of the pelvis, a condition that results from repetitive or excessive force applied to the bone, leading to damage that manifests as a painful injury. The condition is relatively rare, and its incidence is higher in athletes, especially runners and jumpers, and in individuals with weakened bones, such as those suffering from osteoporosis.

The symptoms of a stress fracture of the pelvis may include pain that increases with routine activities and decreases with rest, swelling, tenderness, and bruising. The location of the pain may vary depending on the site of the fracture. In most cases, providers diagnose the condition through a combination of physical examination, review of the patient’s medical history pertaining to fractures, laboratory testing to evaluate the level of calcium and vitamin D, and imaging tests such as X-rays, MRIs, or bone scans.

The physical examination may involve assessing the patient’s range of motion, muscle strength, and evaluating the intensity and location of the pain. The study of the patient’s medical history helps providers to determine whether the individual has experienced fractures in the past and to identify any underlying medical conditions that may contribute to the development of the fracture.

Laboratory testing may be necessary to evaluate the patient’s vitamin D and calcium levels. These markers help to determine the bone density and strength, providing insight into the likelihood of bone fractures.

Imaging tests are especially important in the diagnosis of stress fractures. In particular, X-rays can reveal evidence of damage to the bone tissue, allowing healthcare professionals to assess the extent of the injury. MRIs can be useful in differentiating stress fractures from other conditions that may cause similar symptoms.

Treatment options for a stress fracture of the pelvis vary depending on the severity of the injury. Conservative treatment options may consist of lifestyle modifications such as avoiding activities that exacerbate the pain, rest, and the application of a splint or cast to immobilize the affected area. Non-steroidal anti-inflammatory drugs (NSAIDs) may be prescribed to relieve pain and inflammation.

For more severe cases of stress fractures, surgical intervention may be required. Surgery involves the insertion of pins or screws to stabilize the bone and promote healing. In some cases, patients may require prolonged periods of rest and rehabilitation before they can resume their normal activities.

In conclusion, the ICD-10-CM code M84.350A describes a stress fracture of the pelvis, a painful condition that may result from excessive force applied to the bone. The diagnosis involves a combination of physical examination, review of the patient’s medical history, laboratory testing, and imaging tests. Treatment options for the condition vary depending on the severity of the injury, and may include conservative measures such as rest and NSAIDs, as well as surgical intervention for more severe cases. Early diagnosis and appropriate treatment can help individuals with a stress fracture of the pelvis to achieve a full recovery and resume their normal activities.

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