Pathological fracture in other disease, right hand, sequela

This code signifies a fracture of the right hand that occurred due to an underlying disease process, rather than significant trauma, and is now being addressed as a long-term complication or late effect. It indicates that the acute phase of the fracture has passed, and the patient is experiencing residual effects.

Apply this code when documentation clearly states a pathological fracture of the right hand, and the encounter is for the management of a sequela (e.g., malunion, nonunion, chronic pain, functional limitation) related to that fracture. The underlying disease causing the pathological fracture should also be coded.

• Always sequence the code for the underlying disease responsible for the pathological fracture before this code.
• Ensure the documentation specifies "pathological fracture" and "right hand" to support this specific code.
• The "S" seventh character indicates sequela; do not use for initial or subsequent encounters for active fracture treatment.