Oth osteopor w current path fracture, r shoulder, sequela

This code signifies a patient presenting with a pathological fracture of the right shoulder due to osteoporosis, where the specific type of osteoporosis is not further specified (e.g., not postmenopausal, age-related, or drug-induced). The "sequela" seventh character indicates that this encounter is for the late effects or complications of the fracture, after the initial healing has occurred.

Apply this code for follow-up encounters or treatment of long-term complications directly resulting from a previously healed osteoporotic pathological fracture of the right shoulder. Documentation should clearly state "sequela," "late effect," or similar terminology, and specify the right shoulder as the fracture site. This code is appropriate when the initial fracture has healed, but the patient is still experiencing issues related to it.

• Ensure documentation explicitly states "sequela" or "late effect" to justify the 7th character 'S'.
• Do not use this code for initial treatment of the fracture; use an acute fracture code (A, B, C) for that phase.
• Always code the underlying osteoporosis (e.g., M81.8) as a secondary diagnosis if it is still being managed.