Path fracture, unsp humerus, subs for fx w delay heal

This code signifies a fracture of an unspecified humerus that occurred due to an underlying disease process, rather than trauma. The patient is in a subsequent phase of care, and the fracture is exhibiting delayed healing, meaning it is taking longer than expected to unite.

Apply this code when documentation indicates a pathological fracture of the humerus (laterality not specified) and the patient is being seen for ongoing management of the fracture, specifically noting delayed healing. Supporting documentation would include physician notes detailing the pathological nature of the fracture and the current status of delayed union.

• Always code the underlying pathological condition first, followed by this fracture code.
• Ensure documentation clearly specifies "delayed healing" for this specific subsequent encounter code.
• Do not use this code for initial encounters or for fractures healing normally.