Pathological fracture in neoplastic disease, pelvis, init

This code signifies a bone fracture occurring in the pelvis due to the weakening effects of a neoplastic (cancerous) process, rather than from significant trauma. It specifically indicates that this is the initial medical encounter for the management of this particular fracture.

Apply this code when documentation clearly states a pelvic fracture is secondary to a malignancy (e.g., metastatic bone disease, primary bone tumor) and the patient is presenting for initial treatment of the fracture. Supporting documentation includes imaging reports confirming the fracture and pathology reports or clinical notes indicating the underlying neoplastic disease.

• Always sequence the underlying malignancy code before this code.
• Ensure documentation specifies "pathological fracture" and the anatomical site (pelvis).
• Distinguish from traumatic fractures; the cause must be attributed to the neoplastic process.