Pathological fracture, pelvis, init encntr for fracture

This code signifies a bone fracture in the pelvis that occurred due to an underlying disease or condition, rather than from trauma. It indicates the initial treatment or active phase of care for this specific fracture.

Apply this code when documentation clearly states a pelvic fracture resulted from a pathological process (e.g., osteoporosis, tumor, metabolic bone disease) and the patient is receiving initial treatment. Supporting documentation should specify the cause of the fracture and the anatomical site.

• Always sequence the underlying disease causing the pathological fracture first, followed by this code.
• Distinguish carefully between pathological fractures and traumatic fractures; traumatic pelvic fractures use codes from S32.
• Ensure documentation specifies "initial encounter" for this specific fracture to justify the 7th character 'A'.