Stress fracture, pelvis, initial encounter for fracture

This code signifies a fracture of the pelvic bone that has occurred due to repetitive stress or overuse, rather than a single traumatic event. It indicates that the patient is receiving initial treatment for this specific stress fracture.

Apply this code when documentation confirms a stress fracture of the pelvis, often seen in athletes or individuals with increased physical activity. Supporting documentation should clearly state "stress fracture" and specify the pelvis as the affected site, along with the initial phase of care.

• Ensure the documentation explicitly states "stress fracture" to differentiate from acute traumatic fractures.
• Verify that the encounter is for the initial treatment of the fracture; subsequent encounters will require different seventh characters.
• Look for details regarding the specific bone within the pelvis (e.g., ilium, ischium, pubis) if available, though this code is for the general pelvic site.