Pathological fracture, right femur, subs for fx w routn heal

This code signifies a fracture of the right femur that occurred due to a pre-existing disease process, rather than trauma. The patient is currently in the healing phase, and the healing is progressing as expected without complications. This indicates follow-up care for a fracture that was not caused by an acute injury.

Use this code for follow-up encounters where a patient is receiving ongoing care for a pathological fracture of the right femur, and the physician's documentation confirms routine healing. This applies when the patient is seen for cast changes, wound checks, physical therapy, or medication management related to the healing fracture. Documentation should explicitly state "pathological fracture," "right femur," and indicate a "subsequent encounter" with "routine healing."

• Ensure documentation specifies "pathological" to differentiate from traumatic fractures.
• Verify the laterality (right femur) is clearly documented.
• The 7th character "D" is crucial for subsequent encounters with routine healing; do not use "A" for initial or "G" for delayed healing.