ICD 10 M84.839 describes a medical condition that affects the continuity of the radius or lower arm bones, which may be caused by various bone diseases or conditions such as metabolic bone disease, a condition that results in the inability to absorb bone nutrients like calcium, and it is worth noting that the provider does not document whether the left or right ulna or radius is affected.
Official Description Of M84.839
The ICD 10 CM book defines ICD 10 code M84.839 as:
Excludes2: traumatic fracture of bone-see fracture, by site
When To Use M84.839
The diagnosis describes by ICD 10 CM M84.839 is related to various conditions affecting the ulna and radius bones of the lower arm, which can lead to the interruption of bone continuity and subsequently cause a fracture. These conditions include avascular necrosis, bone spurs, fibrous dysplasia, and metabolic bone disease.
Avascular necrosis refers to the death of bone tissue due to a lack of blood supply. This condition can occur as a result of injury, radiation therapy, or long-term use of certain medications such as corticosteroids. Bone spurs or osteophytes are bony projections that develop along bone edges, often caused by osteoarthritis, which is the degeneration of joint cartilage and bone. Fibrous dysplasia is an uncommon bone disorder that results in the formation of abnormal fibrous tissue instead of normal bone tissue. Metabolic bone disease is a group of disorders that affect bone strength and structure, which includes osteoporosis, osteomalacia, and rickets.
To diagnose the condition, healthcare providers conduct a thorough patient history to identify any past injuries, medical conditions or medications that could contribute to the bone disorder. Additionally, physical examination is necessary to measure the range of motion and muscle strength, and identify the presence of pain or swelling. Imaging techniques such as X-rays, MRI, CT scans or DXA scan can determine the bone mineral density, check for any bone abnormalities or detect fractures. Blood tests can also be performed to determine the erythrocyte sedimentation rate or ESR, which is an indicator of inflammation in the body.
Treatment options for ulna and radius bone disorders vary depending on the underlying condition and severity of the symptoms. Medication such as analgesics may be prescribed to manage pain. Bracing or splinting of the affected limb may help prevent further damage to the bones, reduce the pain or swelling, and promote healing. Nutritional supplements such as calcium or vitamin D may be recommended to support healthy bones and prevent bone loss.
Physical exercise is an important aspect of treatment, which can contribute to the improvement of range of motion, flexibility and muscle strength. Cast application may be necessary to stabilize fractures and allow for proper healing. In severe cases or when other treatments fail, surgical interventions may be necessary. These interventions may include the use of plates or screws to stabilize fractures, bone grafts and joint replacement procedures.
In conclusion, the ICD10-CM M84.839 diagnosis code includes a range of conditions affecting the lower arm bones that may lead to fractures. The diagnosis of these conditions involves a combination of patient history, physical examination, imaging techniques and laboratory tests. Treatment options include medication, bracing, nutritional supplements, physical exercise, cast application, and surgical treatment. If you experience any symptoms related to this diagnosis code, it’s imperative to seek medical attention as soon as possible to obtain an accurate diagnosis and appropriate treatment plan.
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