Stress fracture, pelvis, subs encntr for fracture w malunion

This code describes a stress fracture of the pelvis that has healed improperly, resulting in a malunion. The patient is currently receiving routine care during the healing or recovery phase of this previously diagnosed and treated fracture.

Apply this code when documentation indicates a patient is being seen for ongoing management of a pelvic stress fracture that has healed in an unsatisfactory position. This includes follow-up visits for physical therapy, cast changes, or medication management related to the malunion. Documentation should clearly state "malunion" and specify the pelvic site.

• Ensure the documentation explicitly states "malunion" and not just "nonunion" (which has different codes).
• This "P" seventh character indicates a subsequent encounter for a fracture with malunion; do not use for initial treatment or routine healing without malunion.
• Always code the specific site of the pelvic stress fracture if further detail is available (e.g., ilium, ischium, pubis).