Pathological fracture, hip, unsp, subs for fx w delay heal

This code signifies a fracture of the hip that occurred due to an underlying disease process, rather than trauma, and is currently experiencing delayed healing. It indicates that the patient is receiving active treatment for the fracture during this encounter, but the healing process is not progressing at the expected rate.

Apply this code for follow-up encounters where a patient is being managed for a pathological hip fracture that is not healing normally. Documentation should clearly state "delayed healing" and specify the hip as the fracture site, along with the pathological nature of the fracture. This code is appropriate when the patient is still under active treatment for the fracture.

• Ensure documentation explicitly states "pathological fracture" and "delayed healing" for the hip.
• Do not use this code for initial encounters or for fractures that are healing normally.
• Always sequence this code after the underlying disease causing the pathological fracture, if known and still active.