Pathological fracture, right shoulder, init for fx

This code signifies a bone fracture in the right shoulder that occurred due to a pre-existing disease or condition that weakened the bone, rather than from significant trauma. This type of fracture often results from minimal or no trauma in individuals with underlying bone pathology.

Apply this code when documentation clearly indicates a fracture of the right shoulder (e.g., humerus, scapula, clavicle) that is attributed to an underlying pathological process such as osteoporosis, metastatic cancer, or Paget's disease. This code is appropriate for the initial treatment phase of the fracture.

• Ensure documentation specifies the pathological nature of the fracture, not just a spontaneous fracture.
• Always code the underlying disease causing the pathological fracture first, if known and actively treated.
• Verify the encounter type (initial, subsequent, sequela) to select the correct 7th character.