Path fracture in oth disease, pelvis, subs for fx w nonunion

This code describes a pathological fracture of the pelvis that has failed to heal properly (nonunion) and is being treated in a subsequent encounter. The fracture occurred due to an underlying disease process, not trauma.

Apply this code when a patient presents for ongoing management of a pelvic fracture caused by a systemic condition (e.g., osteoporosis, metastatic cancer) that has not united. Documentation should clearly state "pathological fracture," "pelvis," "nonunion," and indicate a follow-up visit for this specific condition.

• Always sequence this code after the underlying disease causing the pathological fracture.
• Distinguish carefully between nonunion (failure to heal) and malunion (healed in a deformed position); different codes apply.
• Ensure documentation specifies the bone involved in the pelvis (e.g., ilium, ischium, pubis) if known, as more specific codes may be available.