Pathological fracture, left shoulder, sequela

This code signifies a long-term complication or late effect resulting from a pathological fracture that previously occurred in the patient's left shoulder. A pathological fracture is one caused by a disease process weakening the bone, rather than by trauma. The "sequela" indicates that the current encounter addresses a residual condition directly attributable to that past fracture.

Apply this code when a patient presents with a current problem or condition that is a direct consequence of a healed or resolving pathological fracture of the left shoulder. Documentation should clearly link the current complaint (e.g., chronic pain, deformity, limited range of motion) to a historical pathological fracture of the left shoulder. This code is appropriate for follow-up care related to the long-term effects of such a fracture.

• Always sequence this sequela code after the code for the specific residual condition being treated (e.g., M25.512 for chronic pain in left shoulder).
• Do not use this code for an active, acute pathological fracture; instead, use the appropriate M84.412A, D, or G codes.
• Ensure documentation explicitly states the fracture was "pathological" and specifies the "left shoulder" and that the current issue is a "sequela" or "late effect."