Pathological fracture in oth disease, unsp humerus, sequela

This code signifies a healed or residual effect of a pathological fracture of an unspecified humerus, which occurred due to an underlying systemic disease rather than trauma. The fracture itself is no longer acute, but the patient is experiencing ongoing problems or complications directly related to the previous fracture.

Apply this code when a patient presents for treatment of a long-term complication or sequela stemming from a pathological humerus fracture that has already healed. Documentation should clearly indicate the fracture is no longer acute and that the current encounter addresses a residual condition, such as chronic pain, deformity, or limited range of motion, linked to the past fracture.

• Always sequence this S-code after the code(s) identifying the specific sequela being treated.
• Ensure documentation explicitly states the fracture is "healed" or describes a "residual effect" to justify the sequela designation.
• Do not use this code for acute pathological fractures; refer to the acute fracture codes for those scenarios.