Pathological fracture in other disease, right tibia, sequela

This code signifies a pathological fracture of the right tibia that has healed or is in the late effects stage, occurring as a consequence of an underlying disease process rather than trauma. It indicates that the acute phase of the fracture has passed, and the current encounter addresses the long-term complications or residual effects.

Use this code when documenting follow-up care for a previously sustained pathological fracture of the right tibia, where the fracture itself is no longer acute. This applies when the patient is being treated for ongoing pain, deformity, nonunion, malunion, or other lasting issues directly related to the healed or resolving fracture. Documentation should clearly state the fracture's resolution or sequela status and its pathological origin.

• Always sequence this sequela code after the code for the underlying disease that caused the pathological fracture.
• Do not use this code for active, acute pathological fractures; instead, use the appropriate acute pathological fracture code from the M84.4- or M84.5- categories.
• Ensure documentation specifies "sequela," "late effect," or indicates that the fracture is healed with residual issues.