ICD 10 CM M84.443A | Description & Clinical Information
ICD 10 M84.443A describes a specific medical condition in which a bone breaks due to a disease condition, such as a tumor, infection, osteoporosis, or hereditary genetic bone disorders, rather than from a traumatic event, and in this particular case, the provider has not documented whether the pathologic fracture occurred in the left or right hand during the initial encounter.
Official Description Of M84.443A
The ICD 10 CM book defines ICD 10 code M84.443A as:
Excludes1: collapsed vertebra NEC (M48.5)
pathological fracture in neoplastic disease (M84.5-)
pathological fracture in osteoporosis (M80.-)
pathological fracture in other disease (M84.6-)
stress fracture (M84.3-)
traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
Excludes2: personal history of (healed) pathological fracture (Z87.311)
Excludes2: traumatic fracture of bone-see fracture, by site
When To Use M84.443A
The diagnosis describes by the ICD 10 CM M84.443A code indicates a pathological fracture of an unspecified hand. This type of fracture can cause a wide range of symptoms, including pain, swelling, deformity, weakness, restricted motion, bruising, and numbness. Severe cases may even result in paralysis if nerve damage occurs.
When it comes to diagnosing this condition, providers rely on several techniques. First and foremost, a thorough patient history and physical examination are conducted. During the exam, the range of motion and muscle strength are measured. Imaging techniques, such as X-ray, magnetic resonance imaging (MRI), computed tomography (CT), or dual X-ray absorptiometry (DXA) are also utilized to evaluate bone mineral density. Lab examinations of blood samples for bone and inflammatory markers and bone biopsy for histology studies may also be done.
Treatment options for pathological fractures vary based on the severity of the fracture and the underlying cause. Physical therapy may be prescribed to improve the range of motion and strength of the affected hand. Additionally, the use of braces, casts, or splints may be necessary to alleviate pain and swelling and stabilize the fracture.
Analgesics or other medications may be administered to alleviate pain and discomfort. Nutritional supplements may also be suggested to promote bone health and aid in the healing process. Regardless, underlying issues need to be addressed to effectively treat the fracture. Surgical treatment may also be necessary in severe cases.
It’s important to note that the treatment of pathological fractures is highly individualized. Seeking out a qualified healthcare provider is essential to receive the best care and achieve the most favorable outcome.
