Pathological fracture, r humerus, subs for fx w delay heal

This code signifies a pathological fracture of the right humerus that is currently undergoing treatment, but healing is not progressing at the expected rate. A pathological fracture occurs due to a disease process weakening the bone, rather than direct trauma. The "G" seventh character indicates that this is a subsequent encounter for the fracture, specifically noting delayed healing.

Apply this code when a patient presents for follow-up care of a right humeral pathological fracture, and clinical or radiological evidence confirms delayed union. Documentation should clearly state the pathological nature of the fracture, its location, and the ongoing management due to slow healing. This code is appropriate for visits related to monitoring, treatment adjustments, or further interventions for the unhealed fracture.

• Ensure documentation explicitly states "pathological fracture" and the specific bone involved (right humerus).
• The "G" seventh character is crucial for subsequent encounters with delayed healing; do not confuse it with "D" (routine healing) or "K" (nonunion).
• Always sequence the underlying disease causing the pathological fracture (e.g., osteoporosis, metastatic cancer) before this fracture code.