Dneely
Guest
Hello,
I wanted to know if anyone was familiar with coding fractures for patients that has osteoporosis. I listened to an audio conference and was told my physician has to link the pathologic fracture to osteoporosis. When I go to the coding guidelines, it states osteoporosis is a systemic condition that affects all the bones of the musculoskeletal system. It goes on to say that a code form the M80 category not a traumatic fracture code should be use 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. It does not state the pathologic fracture needs to be linked to osteoporosis. My physician is performing a kyphoplasty after a patient has presented to ER after a fall that caused a fracture. He never indicates that the pathologic fx is linked to osteoporosis but if I am reading correctly, the fx should be coded with the M series and not an S series.
I wanted to know if anyone was familiar with coding fractures for patients that has osteoporosis. I listened to an audio conference and was told my physician has to link the pathologic fracture to osteoporosis. When I go to the coding guidelines, it states osteoporosis is a systemic condition that affects all the bones of the musculoskeletal system. It goes on to say that a code form the M80 category not a traumatic fracture code should be use 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. It does not state the pathologic fracture needs to be linked to osteoporosis. My physician is performing a kyphoplasty after a patient has presented to ER after a fall that caused a fracture. He never indicates that the pathologic fx is linked to osteoporosis but if I am reading correctly, the fx should be coded with the M series and not an S series.
