ICD 10 CM M84.459K | Description & Clinical Information

ICD 10 M84.459K describes a type of pathological fracture of the hip that occurs as a result of a disease condition, such as a tumor, infection, osteoporosis, or hereditary genetic bone disorders, rather than from trauma, and in this particular case, the provider has not specified whether the fracture involves the left or right hip at a subsequent encounter for nonunion, or failure of the fragments of a pathologic fracture to unite.

Official Description Of M84.459K

The ICD 10 CM book defines ICD 10 code M84.459K as:

Pathological fracture, hip, unspecified, subsequent encounter for fracture with nonunion
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

Clinical Information

The diagnosis describes by the ICD 10 CM M84.459K code refers to a type of pathological fracture that affects the hip bone in an unspecified manner. This condition can be quite debilitating and lead to excruciating pain, swelling, deformity, weakness, restricted motion, difficulty walking, bruising, and numbness, and even paralysis in case of nerve damage.

Medical providers typically diagnose this condition based on the patient’s medical history and a thorough physical examination. They also take into account the patient’s range of motion and muscle strength, along with various imaging techniques such as X-rays, magnetic resonance imaging (MRI) scans, computed tomography (CT) scans, or a dual X-ray absorptiometry (DXA) scan to evaluate the bone mineral density. Furthermore, laboratory examination of a blood sample may be conducted to look for bone and inflammatory markers, while a bone biopsy may also be necessary for histology studies.

Treatment options for this condition often include physical therapy to improve the patient’s range of motion and strength. A brace, cast, or splint may also be used to alleviate pain and swelling and stabilize the fractured bone. Furthermore, medications such as analgesics and nutritional supplements may be prescribed to manage the patient’s symptoms, along with treatment of any underlying condition. In certain cases, surgery may also be necessary.

When it comes to the prevention of hip fractures, there are several proactive measures that may be taken. These include getting enough calcium and vitamin D in the diet, exercising regularly – especially weight-bearing exercises that help to improve bone strength – and taking any necessary safety precautions when engaging in activities such as driving or walking on uneven surfaces.

It is important to note that hip fractures can be extremely serious, particularly for older individuals who tend to experience a slower rate of healing. Therefore, it is crucial that patients seek medical attention as soon as possible in the event of any hip injury or pain. Early diagnosis and prompt treatment can prevent any further damage and provide the best chance of a successful recovery.

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