Pathological fracture, unspecified femur, sequela

This code signifies a pathological fracture of an unspecified femur that has healed, but the patient is still experiencing residual effects or complications directly related to the original fracture. It indicates a long-term consequence of a fracture caused by an underlying disease process, rather than trauma.

Use this code when documenting follow-up care for a patient with a healed pathological femoral fracture who is presenting with ongoing issues such as pain, deformity, limited range of motion, or nonunion/malunion complications. The medical record must clearly state that the fracture was pathological and that the current encounter addresses a sequela.

• Requires a seventh character "S" to indicate sequela, meaning the initial injury has healed but residual effects persist.
• Always code the underlying disease causing the pathological fracture first, if known and still active.
• Do not use for acute or subacute pathological fractures; those would require different seventh characters (A, D, G, K, P).