Pathological fracture, r humerus, subs for fx w routn heal

This code signifies a fracture of the right humerus that occurred due to an underlying disease process, not from trauma. The patient is currently in a follow-up phase where the fracture is healing as expected without complications.

Apply this code for patients presenting for follow-up care of a right humeral pathological fracture that is progressing to routine healing. Documentation should clearly state "pathological fracture," specify the right humerus, and indicate a subsequent encounter with routine healing.

• Ensure documentation specifies "pathological" to differentiate from traumatic fractures.
• Verify the laterality (right) and anatomical site (humerus) are clearly documented.
• Confirm the encounter type is "subsequent" and healing is "routine" to select the correct 7th character.