Pathological fracture in oth disease, left humerus, sequela

This code signifies a pathological fracture of the left humerus that has occurred as a late effect or complication of an underlying disease process, rather than from trauma. It indicates that the fracture itself is no longer acute, but the patient is still experiencing residual effects or complications directly attributable to the previous fracture.

Use this code when documentation clearly states a pathological fracture of the left humerus due to an underlying disease (e.g., osteoporosis, metastatic cancer, Paget's disease) and the patient is being treated for a long-term consequence or sequela of that fracture. This applies to situations where the fracture has healed but residual pain, deformity, or functional limitation persists. Documentation should specify the left humerus and indicate the chronic nature or late effect of the fracture.

• Always sequence this sequela code after the code for the underlying disease that caused the pathological fracture.
• Do not use this code for acute pathological fractures; instead, use the appropriate acute pathological fracture code with an initial or subsequent encounter seventh character.
• Ensure documentation explicitly states "sequela," "late effect," or describes a chronic condition resulting from the past pathological fracture.