Pathological fracture, unspecified site, initial encounter for fracture
ICD-10 Code: M84.40XA · Body Part: Lumbar Spine
QME Evaluation Process
Imaging for fracture etiology, bone density assessment, metabolic workup. Important for apportionment when minimal-trauma fracture occurs at work.
Typical Impairment Rating
Varies; significant apportionment for underlying bone disease
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Lumbar Spine Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Pathological fracture, unspecified site, initial encounter for fracture
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What is Pathological fracture, unspecified site, initial encounter for fracture (M84.40XA)?
Pathological fracture, unspecified site, initial encounter for fracture is an ICD-10 diagnosis code (M84.40XA) classified under Other conditions. It affects the Lumbar Spine and is occasionally seen in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is M84.40XA rated for impairment?
The typical whole person impairment (WPI) range for Pathological fracture, unspecified site, initial encounter for fracture is Varies; significant apportionment for underlying bone disease. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for M84.40XA?
Imaging for fracture etiology, bone density assessment, metabolic workup. Important for apportionment when minimal-trauma fracture occurs at work.
What treatments are common for Pathological fracture, unspecified site, initial encounter for fracture?
Common treatments for Pathological fracture, unspecified site, initial encounter for fracture include Treat underlying condition, Fracture management per site, Osteoporosis treatment. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.