M80.01 Age-related osteoporosis with current pathological fracture, shoulder.M80.00 Age-related osteoporosis with current pathological fracture, unspecified site.M80.0 Age-related osteoporosis with current pathological fracture.M80 Osteoporosis with current pathological fracture.A code from category M80, not a traumatic fracture code, should be used for any patient with known osteoporosis who suffers a fracture, even if the patient had a minor fall or trauma, if that fall or trauma would not usually break a normal, healthy bone. The code should be selected based on the site of the fracture, not the location of the osteoporosis. If the patient has a current pathological fracture at the time of the encounter, use the codes from M80- series. Coders must include details such as “distal end” or “proximal end”. This includes not only which bone is broken, but also the specific location of the fracture on the bone. Other important information to include when reporting a fracture is – “site of the fracture”. For open fracture types, terms used include compound, infected, missile, puncture and with foreign body. Instead, for a closed fracture they may use terms such as Comminuted, Depressed, Elevated, Fissured, Greenstick, Impacted, Linear, Simple, Slipped epiphysis and Spiral. However, in most cases physicians don’t always specify the fracture clearly as open or closed. A traumatic fracture is caused by accidents, falls or other kinds of force, while pathologic (non-traumatic) fractures are caused by diseases like osteoporosis. Though we have discussed earlier about documenting Osteoporosis with ICD-10 coding, here are some more tips that orthopedic coders can consider.Ĭheck whether the fracture is traumatic or pathologicĬheck the physician’s documents to know whether the fracture is traumatic or pathologic (non-traumatic). Physicians could also consider accurate medical coding servicesprovided by an experienced firm. Documenting these osteoporotic fractures for claim submission and reimbursement requires a better understanding of the coding guidelines for coders. As this disease is characterized by low bone mass with microarchitectural disruption and skeletal fragility, there is an increased risk of fracture, particularly at the spine, hip, wrist, humerus, and pelvis. ICD-10-CM M81.0 is grouped within Diagnostic Related Group(s) (MS-DRG v40.Osteoporosis is a systemic condition, meaning that all bones of the musculoskeletal system are affected. Primary osteoporosis can be of two major types: postmenopausal osteoporosis (osteoporosis, postmenopausal) and age-related or senile osteoporosis. Reduction of bone mass without alteration in the composition of bone, leading to fractures.nih: national institute of arthritis and musculoskeletal and skin diseases To keep bones strong, eat a diet rich in calcium and vitamin d, exercise and do not smoke. A bone mineral density test is the best way to check your bone health. You might not know you have it until you break a bone. having osteopenia, which is low bone density.having a family history of osteoporosis. As many as half of all women and a quarter of men older than 50 will break a bone due to osteoporosis.risk factors include Anyone can develop osteoporosis, but it is common in older women.
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