Icd10 Code for Fractured Hip With Hardware

Kim Carrier RHIT, CDIP, CCS, CCS-P
Manager of Coding Quality Assurance
AHIMA Approved ICD-ten-CM/PCS Trainer

In that location are approximately 6.three meg fractures reported each twelvemonth in the u.s. and nearly are due to trauma. Illness can also cause a bone to fracture and this fracture blazon is known as a pathological fracture. A pathological fracture is ordinarily spontaneous but may also result from a minor trauma that fractures from the diseased bone. Osteoporosis solitary is responsible for over a million fractures every twelvemonth. Stress fractures are not as common just they practice occur. At that place are more than 1 million total joint replacements in the U.Due south. each year, so there was a demand to create codes for injuries that occur effectually or about the prosthesis. These are chosen "periprosthetic" fractures.

What is a Periprosthetic Fracture?

Periprosthetic fractures are fractures that occur around a prosthesis. They are not complications of the prosthesis but are caused past either trauma or disease (pathological). These fractures are not coded as a complication since they don't really involve the implant. ICD-10-CM has specific codes for periprosthetic fractures.

How is a Periprosthetic Fracture Coded and Sequenced?

Periprosthetic fractures are coded inside Chapter xiii of ICD-x-CM in category M97. A minimum of two codes are required when reporting the periprosthetic fractures. 1 code for the periprosthetic fracture and another for the blazon of fracture, such every bit traumatic vs. pathological with the underlying status. If the reason for admission/see is for the fracture and so the fracture would be sequenced first and then the periprosthetic fracture lawmaking as a secondary diagnosis code.

Examples:

• Patient is admitted for new periprosthetic fracture of the lower terminate of the left femur subsequently falling downwardly 4 steps. This fracture is documented to not involve the bodily joint prosthesis. In this case, report ICD-10-CM codes S72.402A (Unspecified fracture of lower finish of left femur, initial encounter for closed fracture) as the principal/first listed diagnosis followed by M97.02XA (Periprosthetic fracture around internal prosthetic left hip joint, initial meet) as a secondary diagnosis. (Besides assign external cause codes)
• Patient is status mail service left shoulder replacement and presents for periprosthetic fracture of the humerus afterward rolling over in the bed. The patient was worked upwardly and it was found that the fracture was due to underlying osteoporosis. There was no fracture of the bodily joint prosthesis. In this instance, study ICD-10 CM codes M84.422A (Pathological fracture, left humerus, initial encounter for fracture) every bit the main/outset listed diagnosis followed by M97.32XA (Periprosthetic fracture around internal prosthetic left shoulder joint, initial encounter) equally a secondary diagnosis. (Too assign osteoporosis and external cause codes)

If the actual articulation prosthesis is broken then the fracture would exist coded as a complication of internal joint prosthesis and sequenced as the main/first listed diagnosis lawmaking.

References
ncbi.nlm.nih.gov/pmc/articles/PMC5726208
https://www.niams.nih.gov/health-topics/hip-replacement-surgery
emedicine.medscape.com/article/1269334
I-10 Coding Handbook
ICD-10-CM/PCS Coding Clinic, Quaternary Quarter ICD-10 2016 Page: 42
ICD-ten-CM/PCS Coding Clinic, First Quarter ICD-10 2018 Page: 21

Happy Coding!

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