Fx humerus fol insrt ortho implnt/prosth/bone plt, right arm

This code describes a fracture of the right humerus that occurs after the surgical placement of an orthopedic implant, such as a joint prosthesis or bone plate. This type of fracture is considered a complication related to the presence of the previously implanted device, rather than a new traumatic injury to an intact bone.

Use this code when documentation clearly indicates a fracture of the right humerus occurring in a patient who has a pre-existing orthopedic implant in that bone. This typically applies to periprosthetic fractures or fractures adjacent to hardware. Documentation should specify the laterality (right arm) and the presence of the implant.

• Always confirm laterality (right vs. left) from the medical record.
• Distinguish this from a pathological fracture due to disease or a traumatic fracture in an un-implanted bone.
• Code also the underlying reason for the original implant if still relevant, or any associated complications.