The patient was admitted to the hospital because of severe left hip pain that is often worse during the night. X-rays of the hip were taken in the ER. A preliminary report showed that the patient possibly had Paget disease of the left femur, which was responsible for the patient's pain. Alkaline phosphatase was elevated, and a bone scan was done to determine the extent of the disease.Final Diagnoses: Severe hip pain due to Paget disease

Question

Quizplus · Accepted Answer

Paget disease of bone is coded as M88.8-, with the fifth character indicating the site. Since the disease affects the left femur, the correct code is M88.852, which specifies Paget's disease of the left femur. The code for severe hip pain (M25.552) is not necessary as the final diagnosis directly attributes the pain to Paget disease.

The Patient Was Admitted to the Hospital Because of Severe