Osteoporosis
Acute vs Chronic injuries
Pathologic Fractures
Coding of Injuries and Fractures
100

Systemic disease condition that weakens bone, and is more common in the elderly and in women.

osteoporosis

100

Sudden, spontaneous injury, usually caused by a traumatic event.

Acute

100

A type of fracture that would not normally occur in a healthy bone. These fractures happen in bones that are weakened by underlying disease.

Pathologic Fracture

100

(True/False) You should first code for the most serious injury (the primary reason patient seeks treatment).

True

200

(True/False) Patients with osteoporosis are especially susceptible to fractures, even with normal daily activities.

True

200

Long-lasting or recurring problem that can be caused by underlying medical condition, or long-term effects of previous injuries.

Chronic

200

(name the 7th character code) The patient is currently receiving active treatment for the fracture

A

200

(True/False) You can combine multiple injuries into one diagnosis code

False: always assign separate codes for each injury, unless a combination code is provided.

300

In Category M81 “Osteoporosis WITHOUT current pathological fracture”, would you code by anatomic site?

NO: This code is used for systemic osteoporosis, meaning all bones are affected.

300

Current, acute injuries should be coded from which chapter of ICD-10?

Chapter 19: Injury, Poisoning, and Certain Other Consequences of External Causes (S00-T88)

300

(name the 7th character code) The patient has completed treatment and is receiving routine care for the fracture during the healing phase

D

300

A fracture is not specified as open or closed in the notes. Which should you use when coding?

Closed

400

In Category M80, “Osteoporosis WITH current pathological fracture”, would you code by anatomic site?

YES: Code the specific site of the fracture

400

Chronic, recurrent conditions should be coded from which chapter of ICD-10?

Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)

400

(name the 7th character code) The patient is being seen for sequelae (residual effects) of the fracture

S
400

A fracture is not specified as displaced or not displaced in the notes. Which should you use when coding?

Displaced

M
e
n
u