Pathological fracture, pelvis, subs for fx w delay heal

This code signifies a fracture of the pelvis that occurred due to an underlying disease process (e.g., osteoporosis, tumor), not trauma, and is currently in a phase of delayed healing. The patient is receiving active treatment for the fracture, but the healing process is taking longer than expected.

Apply this code when a patient presents for follow-up care of a previously diagnosed pathological pelvic fracture that is not healing at the anticipated rate. Documentation should clearly state "pathological fracture of the pelvis," indicate the "subsequent encounter" for treatment, and explicitly mention "delayed healing."

• Ensure documentation specifies "pathological" to differentiate from traumatic fractures.
• Verify that the encounter is for ongoing treatment of the fracture, not initial care or sequelae.
• Always sequence this code after the underlying disease causing the pathological fracture, if applicable and still active.