Orthopedic Coding Alert

ICD-10 2024:

Update Adds to Osteoporosis Dx Options

Desmoid tumor? There’s a code for that in 2024.

Summertime is known for cookouts, pool parties, and — for coders — new ICD-10 codes. In a tradition that’s as consistent as July 4 fireworks, ICD-10 has released its new code list for 2024, and coders now have to familiarize themselves with the new/revised/ deleted codes.

Nuts & bolts: The ICD-10 2024 addendum includes about 500 new codes, with another 30 or so revised codes and some codes converted to parents. The new codes become effective on Oct. 1, 2023.

Check out the codes you’ll want to learn most before ICD-10 2024 takes effect.

Osteoporosis Group Gets Dx Code Boost

The first codes that orthopedic practices want to take a look at are in the osteoporosis code set; specifically, the osteoporosis with pathological fracture diagnoses.

Definition: Remember, a pathological fracture is a type of fracture that occurs in a bone that has been weakened by an underlying disease or condition. It is different from a typical fracture that occurs due to trauma or injury. In a pathological fracture, the bone breaks more easily because it has been compromised by an existing condition, such as osteoporosis or a tumor.

These are the new osteoporosis codes that will premiere in 2024:

  • M80.0B- (Age-related osteoporosis with current pathological fracture, pelvis)
  • M80.0B1- (Age-related osteoporosis with current pathological fracture, right pelvis)
  • M80.0B2- (Age-related osteoporosis with current pathological fracture, left pelvis)
  • M80.0B9- (Age-related osteoporosis with current pathological fracture, unspecified pelvis)
  • M80.8B- (Other osteoporosis with current pathological fracture, pelvis)
  • M80.8B1- (Other osteoporosis with current pathological fracture, right pelvis)
  • M80.8B2- (Other osteoporosis with current pathological fracture, left pelvis)
  • M80.8B9- (Other osteoporosis with current pathological fracture, unspecified pelvis)

7th character alert: When these codes require you to code all the way to the 7th character, you’ll choose from these options:

  • A = initial encounter for fracture
  • D = subsequent encounter for fracture with routine healing
  • G = subsequent encounter for fracture with delayed healing
  • K = subsequent encounter for fracture with nonunion
  • P = subsequent encounter for fracture with malunion
  • S = sequela

Desmoid Tumor now Has a Code

Another new code for 2024 is a desmoid tumor, which is a tumor that could afflict various parts of the human anatomy. A Desmoid tumor is a rare type of tumor that develops in the connective tissue, which is the tissue that supports and connects various structures in the body. These tumors can occur anywhere in the body, but they most commonly develop in the abdominal wall, shoulder, or thigh.

While you won’t have use for Desmoid tumor diagnoses for every body area, you should take note of these codes when ICD-10 2024 takes effect:

  • D48.110 (Desmoid tumor of head and neck)
  • D48.115 (Desmoid tumor of upper extremity and shoulder girdle)
  • D48.116 (Desmoid tumor of lower extremity and pelvic girdle)
  • D48.117 (Desmoid tumor of back)
  • D48.118 (Desmoid tumor of other site)
  • D48.119 (Desmoid tumor of unspecified site).