Pathological fracture, left fibula, init encntr for fracture

This code signifies a fracture of the left fibula that occurred due to a pre-existing disease process, rather than significant trauma. This type of fracture indicates an underlying weakening of the bone structure, making it susceptible to breaking under normal stress or minor injury. The "initial encounter" designation indicates that the patient is receiving active treatment for this specific fracture.

Apply this code when documentation clearly states a pathological fracture of the left fibula, often in the context of conditions like osteoporosis, bone tumors (primary or metastatic), or osteomyelitis. Supporting documentation should specify the left fibula as the affected bone and confirm that the patient is in the initial phase of treatment for the fracture.

• Ensure the documentation explicitly states "pathological fracture" and specifies the left fibula. Do not use for traumatic fractures.
• Always sequence this code first when it represents the primary reason for the encounter.
• Remember to also code the underlying disease causing the pathological fracture (e.g., osteoporosis, malignancy) as a secondary diagnosis.