Pathological fracture, left tibia, subs for fx w routn heal

This code signifies a fracture of the left tibia that occurred due to a pre-existing disease process, not from trauma. The patient is in the healing phase of this pathological fracture, and the recovery is progressing as expected without complications. This indicates ongoing management of the fracture after initial treatment.

Apply this code for follow-up visits where a patient is receiving routine care for a left tibial pathological fracture that is healing normally. Documentation should clearly state "pathological fracture," specify the left tibia, and indicate "subsequent encounter" with "routine healing." This code is appropriate when the patient is no longer in the acute phase of treatment.

• Ensure documentation specifies "pathological" to differentiate from traumatic fractures.
• Verify laterality (left tibia) is clearly documented.
• Confirm the encounter is for routine healing; use different codes for delayed healing, nonunion, or malunion.