Path fracture, unsp shoulder, subs for fx w delay heal

This code signifies a fracture of an unspecified shoulder bone that occurred due to a pre-existing disease process, rather than trauma. The patient is in the healing phase, but the fracture is not progressing to union at the expected rate.

Apply this code for follow-up encounters where a patient is receiving care for a pathological shoulder fracture that is exhibiting delayed healing. Documentation should clearly indicate the pathological nature of the fracture and the ongoing issue with delayed consolidation.

• Ensure documentation specifies "pathological fracture" and "delayed healing" for the shoulder.
• This code requires a seventh character of 'G' for subsequent encounter with delayed healing.
• Always sequence this code after the underlying disease causing the pathological fracture.