ICD Code M84.459A

ICD code M84.459A is a pathological fracture of the hip, unspecified side, during the initial encounter for the fracture.

1. Presence of a fracture in the hip region

2. Fracture is determined to be pathological, resulting from an underlying disease process rather than trauma

3. The specific site within the hip is not specified

4. This is the initial encounter for active treatment of the fracture

5. Clinical evidence or imaging confirms the fracture

6. Symptoms may include localized pain, swelling, reduced mobility, or inability to bear weight

7. Underlying conditions such as osteoporosis, malignancy, or metabolic bone disease may be present

Relevant CPT codes that may be used to treat ICD code M84.459A include:

- 27236 (Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement)

- 27244 (Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture, with internal fixation)

- 27245 (Open treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture, with intramedullary implant)

- 27130 (Total hip arthroplasty)

- 27125 (Hemiarthroplasty, hip, partial)

- 27506 (Open treatment of femoral shaft fracture, with internal fixation)

- 20680 (Removal of implant, deep, such as buried wire, pin, screw, metal band, nail, rod or plate)

Selection of the appropriate CPT code depends on the specific procedure performed for M84.459A.

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