Pathological fracture, pelvis, subs for fx w routn heal

This code signifies a fracture of the pelvis that occurred due to an underlying disease process, rather than trauma, and is currently in a healing phase without complications. The patient is receiving follow-up care for this specific pathological fracture.

Apply this code for patients presenting for routine follow-up appointments, cast changes, or physical therapy related to a previously diagnosed pathological pelvic fracture that is healing normally. Documentation should clearly state "pathological fracture," "pelvis," and indicate a "subsequent encounter" with "routine healing."

• Ensure the documentation specifies the fracture is pathological, not traumatic.
• Verify the encounter type is for follow-up care of a healing fracture, not initial treatment or a nonunion.
• Always sequence this code after the underlying disease causing the pathological fracture (e.g., osteoporosis, metastatic cancer).