Pathological fracture, left ankle, subs for fx w delay heal

This code signifies a fracture of the left ankle that occurred due to an underlying disease process, rather than trauma, and is currently in a phase of delayed healing. The patient is receiving active treatment for this specific fracture during this encounter.

Apply this code for follow-up encounters where a patient is being treated for a pathological fracture of the left ankle that is not healing at the expected rate. Documentation should clearly state "pathological fracture," specify the left ankle, and indicate "delayed healing" or similar terminology, along with the encounter being for active treatment.

• Ensure documentation explicitly states "pathological fracture" to differentiate from traumatic fractures.
• Verify the laterality (left ankle) is clearly documented.
• The "G" seventh character indicates a subsequent encounter for a fracture with delayed healing; do not use for initial care or routine healing.