ICD 10 CM M84.446P | Description & Clinical Information

ICD 10 M84.446P describes a specific medical condition in which a bone breaks due to a pre-existing disease or 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 specified whether the pathologic fracture occurred in the left or right finger or fingers during a subsequent encounter, and the fracture has resulted in malunion, which is the incomplete uniting of fracture fragments, or union in a faulty position.

Official Description Of M84.446P

The ICD 10 CM book defines ICD 10 code M84.446P as:

Pathological fracture, unspecified finger(s), subsequent encounter for fracture with malunion
Parent Code Notes: M84.4

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)

Parent Code Notes: M84

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

When To Use M84.446P

The diagnosis described by ICD 10 CM M84.446P is a pathological fracture of unspecified fingers. This condition is characterized by symptoms such as pain, swelling, deformity, weakness, restricted motion, bruising, and numbness. In some cases, nerve damage can occur, which can result in paralysis.

To diagnose this condition, healthcare providers use a variety of methods. They begin with a thorough patient history and physical examination. They may also measure the patient’s range of motion and muscle strength. Furthermore, imaging techniques such as X-ray, magnetic resonance imaging, computed tomography or dual X-ray absorptiometry may be used to evaluate the bone mineral density. In addition, laboratory examination of a blood sample for bone and inflammatory markers can help to confirm the diagnosis. Further studies may be required, such as a bone biopsy for histology studies.

There are several treatment options available for patients with a pathological fracture of unspecified fingers. One of the most common treatments is physical therapy. This treatment can help to improve the range of motion and strength of the affected fingers. Additionally, the use of braces, casts or splints may be necessary to alleviate pain and swelling while also stabilizing the fracture.

Medications such as analgesics and nutritional supplements may also be prescribed to help manage symptoms and promote healing. However, it is important to treat the underlying condition that caused the fracture. This may involve addressing issues such as osteoporosis or certain vitamin deficiencies.

In some cases, surgical treatment may be necessary to repair the fracture. This may involve the use of pins, screws, or plates to hold the bone together while it heals. In severe cases, amputation of the affected finger may be required.

Overall, a pathological fracture of unspecified fingers can be a painful and debilitating condition. However, with accurate diagnosis and appropriate treatment, patients can recover and regain function in their affected fingers. It is important for healthcare providers to work closely with their patients to develop an effective treatment plan that meets their individual needs and circumstances.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *