Pathological fracture, r shoulder, subs for fx w nonunion

This code signifies a fracture of the right shoulder that occurred due to an underlying disease process, rather than trauma. The fracture has failed to heal properly, resulting in a nonunion, and the patient is currently receiving active treatment for this complication.

Apply this code when documentation confirms a pathological fracture of the right shoulder with established nonunion, and the patient is in the healing phase, receiving ongoing care for the nonunion. Supporting documentation should clearly state the pathological nature of the fracture, the specific location (right shoulder), and the presence of nonunion.

• Ensure documentation specifies "pathological fracture" and not just a simple fracture.
• Verify the laterality (right shoulder) is clearly documented.
• The "K" seventh character indicates subsequent encounter for fracture with nonunion; do not use for initial or routine follow-up without nonunion.