Osteoporosis has no symptoms until a fracture occurs. Other codes for osteoporosis include osteoporosis circumscripta (731.0) posttraumatic osteoporosis (733.7), which also includes disuse atrophy of bone and wedging of vertebra, not otherwise specified (733.00). unspecified curvature of the spine (737.40).scoliosis (737.43), lateral curvature of the spine or.lordosis (737.42), increased concavity of the lumbar spine.kyphosis (737.41), increased convexity of the thoracic spine.If the documentation mentions curvature of the spine associated with the osteoporosis, assign one of the following codes in addition to the osteoporosis code, sequencing the osteoporosis code first: When the documentation does not state whether the drug was taken correctly or incorrectly, it is assumed it was taken correctly. If the drug was taken incorrectly, sequence the poisoning code first followed by code 733.09 and the E code identifying the circumstances of the poisoning. If the drug was taken correctly (adverse effect), sequence code 733.09 first followed by the therapeutic use E code identifying the drug. Drug-induced osteoporosis (733.09) can be caused by corticosteroids, heparin, barbiturates, and anticonvulsants.Disuse osteoporosis (733.03) is due to immobilization or disuse of a bone (eg, hemiplegia).Other causes of secondary osteoporosis include the following: Secondary osteoporosis is usually caused by medical conditions such as chronic renal failure or rheumatoid arthritis or hormonal disorders such as hyperthyroidism or hyperparathyroidism. Idiopathic juvenile osteoporosis (733.02) occurs in children and young adults with normal hormone levels and function, normal vitamin levels, and no obvious reason to have weak bones.Women can have senile and postmenopausal osteoporosis simultaneously. Senile osteoporosis (733.01) results from age-related calcium deficiency and occurs in people older than 70 it’s twice as common in women as in men.Postmenopausal osteoporosis (ICD-9-CM code 733.01) is caused by a lack of estrogen and affects women aged 51 to 75.Types of primary osteoporosis include the following: Osteoporosis, the most common bone disease, is an abnormal loss of bony tissue resulting in fragile or porous bones. Some of the more common bone diseases are discussed here. A coder should not assume that pain is due to an old facture without supporting documentation or confirmation from the clinician.A bone disease is considered any condition that affects the skeletal system and can range from very serious, requiring prompt treatment, to chronic conditions that may cause limited range of motion, deformity, or pain. X-ray reveals an old fracture but there is no other diagnosis of injury, can the pain be attributable to the old fracture?This scenario highlights a documentation issue, rather than a coding query and code assignment in this instance should be verified with the clinician. Paragraph 2 of this query cites a scenario where a patient is admitted with back pain following minor trauma (turning over in bed). If a fracture is documented as being associated with osteoporosis, then assign the appropriate code from category M80 Osteoporosis with pathological fracture. If in doubt, code assignment should be confirmed with the clinician.Osteoporosis causes severe weakening of the bones and can cause fractures, particularly lumbar fractures. To assign a pathological fracture code, the fracture must be either documented as 'pathological' or described as being 'due to a condition'. At the lead term fracture in the ICD-10-AM Alphabetic Index the term 'compression' is a nonessential modifier while the term 'crush' is not listed as either an essential or nonessential modifier.If there is no external cause of injury documented in the clinical record, and clarification is unable to be obtained from the clinician, assign X59 Exposure to unspecified factor as the external cause of injury code, following the pathway:įracture (circumstances unknown or unspecified) X59 Both crush and compression fractures, without further specification, should be coded to Fracture, by site.
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