Pathological fracture, right tibia, subs for fx w delay heal

This code signifies a fracture of the right tibia that occurred due to an underlying disease process, rather than trauma. It indicates that the patient is receiving ongoing care for this pathological fracture, and the healing process is not progressing as expected.

Apply this code when a patient presents for follow-up treatment of a right tibial pathological fracture that is exhibiting delayed healing. Documentation should clearly state the pathological nature of the fracture and note the delayed healing, often through imaging reports or physician notes indicating non-union or slow callus formation.

• Ensure documentation specifies "pathological fracture" and the "right tibia."
• The "G" seventh character indicates a subsequent encounter with delayed healing; do not use for initial treatment or routine healing.
• Always code the underlying disease causing the pathological fracture first, if known and still active.