Pathological fracture, left hand, subs for fx w delay heal

This code signifies a fracture of the left hand that occurred due to an underlying disease process, rather than trauma. It indicates that the patient is receiving follow-up care for this pathological fracture, which is not healing at the expected rate. This suggests ongoing management for a complicated healing process.

Apply this code when a patient presents for treatment of a left hand fracture caused by a pre-existing condition (e.g., osteoporosis, tumor, bone cyst) and the fracture is not progressing to union as anticipated. Documentation should clearly state "pathological fracture," specify the left hand, and indicate delayed healing during a subsequent encounter. This code is appropriate for follow-up visits after initial treatment.

• Ensure documentation specifies "pathological fracture" and not just a traumatic fracture.
• Verify the laterality (left hand) is clearly documented.
• Confirm the encounter is for follow-up care and that healing is explicitly noted as delayed.