Path fracture in neopltc disease, unsp ulna and radius, init

This code signifies a bone fracture of an unspecified ulna and radius that has occurred due to an underlying neoplastic (cancerous) process, rather than trauma. The bone is weakened by the tumor, making it susceptible to fracture with minimal or no force. This particular code indicates the patient is receiving initial treatment for this specific fracture.

Use this code when documentation clearly states a fracture of the ulna and/or radius is directly caused by a metastatic or primary bone tumor. This applies to the initial encounter where the patient is actively receiving treatment for the fracture itself. Supporting documentation would include imaging reports confirming the fracture and pathology reports or clinical notes identifying the neoplastic etiology.

• Ensure the documentation specifies the fracture is pathological due to neoplasm, not a traumatic fracture in a patient with cancer.
• Always code the underlying neoplasm first, followed by this code for the pathological fracture.
• Verify the encounter type (initial, subsequent, sequela) to select the correct 7th character.