Pathological fracture, left humerus, sequela

This code signifies a pathological fracture of the left humerus where the fracture itself is no longer acute, but the patient is experiencing a long-term complication or residual effect directly attributable to the original fracture. This could include chronic pain, nonunion, malunion, or functional impairment persisting after the initial healing phase.

Use this code when documentation clearly indicates a current condition or symptom that is a direct consequence of a previously healed or resolved pathological fracture of the left humerus. This applies to follow-up encounters for ongoing management of these residual effects. Documentation should specify "sequela," "late effect," or describe a chronic issue stemming from the past fracture.

• Always sequence this code after the code describing the specific sequela (e.g., M96.0 for nonunion, G89.29 for chronic pain).
• Ensure the documentation explicitly links the current condition to the pathological nature of the original fracture, not a traumatic one.
• Do not use this code for acute pathological fractures; use the appropriate acute pathological fracture code from the M84.42- series.