Path fx in oth disease, r shoulder, subs for fx w delay heal

This code signifies a fracture of the right shoulder that occurred due to an underlying disease process, rather than trauma, and is currently experiencing delayed healing. The "subsequent encounter" indicates the patient is receiving active treatment for the fracture after the initial care. The "G" seventh character specifies that the healing process is slower than expected.

Apply this code when a patient presents for follow-up care of a right shoulder pathological fracture, and the physician's documentation explicitly states delayed healing. This typically involves patients with conditions like osteoporosis, metastatic bone disease, or other systemic diseases that weaken bone structure. Documentation should clearly identify the underlying disease causing the pathological fracture and the delayed healing status.

• Ensure the documentation specifies "pathological fracture" and the specific underlying disease, as this differentiates it from traumatic fractures.
• Verify the "G" seventh character is appropriate for delayed healing; other seventh characters exist for routine healing, nonunion, or malunion.
• Always sequence the underlying disease causing the pathological fracture first, followed by this code.