M85.89 Other specified disorders of bone density and structure, multiple sites

ICD10CM code

#### Name of the Condition
- **Other specified disorders of bone density and structure, multiple sites**  
- Technical term: M85.89

#### Summary
- This condition encompasses various specific disorders affecting bone density and structure at multiple anatomical sites. It is a medical diagnosis used when anomalies in bone are not classified elsewhere.

#### Causes
- Causes of bone density and structural disorders may include genetic factors, hormonal imbalances, nutritional deficiencies (such as Vitamin D and calcium), chronic diseases (like arthritis), and certain medications or lifestyle factors.

#### Risk Factors
- Women are generally at higher risk post-menopause due to hormonal changes.
- A positive family history of bone disorders.
- Poor diet lacking in essential nutrients for bone health.
- Sedentary lifestyle.

#### Symptoms
- Symptoms might include bone pain, frequent fractures, deformities, and decreased height over time. Some people may remain asymptomatic until they experience a fracture.

#### Diagnosis
- Diagnosis often involves imaging tests like X-rays, CT scans, or MRIs, along with bone density scans (DEXA). Blood tests may be used to assess levels of calcium, phosphorus, and other bone-related minerals.

#### Treatment Options
- Treatments may include medications such as bisphosphonates or hormone therapy to improve bone density.
- Calcium and Vitamin D supplements.
- Physical therapy can strengthen muscles around weak bones and improve balance to prevent falls.

#### Prognosis and Follow-Up
- Prognosis can vary widely depending on the specific disorder and its management. Ongoing monitoring through regular check-ups and imaging studies is crucial for managing the condition effectively.

#### Complications
- If untreated, complications may lead to severe fractures, chronic pain, immobility, and deformities impacting quality of life.

#### Lifestyle & Prevention
- Preventative measures include a balanced diet rich in calcium and Vitamin D, regular weight-bearing exercises, and avoiding smoking and excessive alcohol consumption.

#### When to Seek Professional Help
- Seek medical advice if experiencing unexplained bone pain, fractures from minimal trauma, or a noticeable decrease in height.

#### Additional Resources
- National Osteoporosis Foundation ([www.nof.org](https://www.nof.org))
- International Osteoporosis Foundation ([www.iofbonehealth.org](https://www.iofbonehealth.org))

#### Tips for Medical Coders
- Ensure detailed documentation that specifies the sites affected and differentiate M85.89 from other non-specific bone density disorders.
- Avoid miscoding by accurately identifying any secondary causes or concurrent conditions that might influence the coding.

Medical Policies and Guidelines for Other specified disorders of bone density and structure, multiple sites

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