Pathological fracture, unsp site, subs for fx w routn heal

This code signifies a fracture that occurred due to an underlying disease process, rather than trauma, at an unspecified anatomical location. The "XD" seventh character indicates that the patient is in the healing phase of the fracture and is receiving routine follow-up care.

Use this code for follow-up encounters where a patient is being monitored for a pathological fracture that is healing normally, and the specific fracture site is not documented. Documentation should clearly state "pathological fracture" and indicate routine healing or follow-up care for the fracture.

• Ensure the documentation specifies "pathological fracture" to differentiate from traumatic fractures.
• Verify that the encounter is for follow-up care and not initial treatment or delayed/nonunion healing.
• Avoid using this code if a more specific anatomical site for the pathological fracture is documented; instead, use the appropriate site-specific code.