Path fracture in neoplastic disease, right femur, init

This code signifies a bone fracture of the right femur that has occurred due to the weakening effects of an underlying neoplastic (cancerous) process, rather than from significant trauma. It indicates that the patient is receiving initial active treatment for this specific fracture.

Apply this code when documentation clearly states a pathological fracture of the right femur caused by cancer, such as metastatic disease or primary bone cancer. This code is appropriate for the initial encounter where the patient is being evaluated and treated for the acute fracture.

• Ensure documentation specifies "pathological fracture" and identifies the right femur as the fracture site.
• Confirm the encounter is for the initial treatment of the fracture; subsequent encounters will require different seventh characters.
• Always sequence this code after the underlying neoplasm code (e.g., C79.51 for secondary malignant neoplasm of bone).