Osteoporosis can occur with or without pathological fracture. Many medical specialists including endocrinologists, orthopedists, and rheumatologists are involved in treating osteoporosis, a bone-thinning condition. Rheumatology medical coding involves reporting the condition using the right diagnosis and procedure codes. While primary osteoporosis is age-related, the secondary condition is caused by any underlying conditions such as endocrine disorders, malnutrition issues, marrow, renal or collagen disorders. Osteomalacia, aging, vitamin D deficiency, and hypocalcemia are common risk factors for osteoporosis.
Osteoporosis fracture documentation involves definition of the episode of care (initial, routine, or delayed healing), specification of location and laterality (left or right), and precise classification for pathological fracture (Senile osteoporosis, posttraumatic osteoporosis). Age-related osteoporosis or other osteoporosis, with current pathological fracture can be reported usingM80 series of codes. Codes are selected based on the anatomical site of the fracture, not the location of the osteoporosis. Experienced medical billing and coding companies help provider submit claims with the correct codes., which is critical for accurate and timely reimbursement.
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