Pathological fracture, left hand, subs for fx w routn heal

This code signifies a fracture of the left hand that occurred due to an underlying disease process, rather than trauma. The patient is currently in the healing phase, and the fracture is progressing as expected without complications. This indicates a follow-up visit for ongoing management of the pathological fracture.

Apply this code for follow-up encounters where a patient is being monitored for a pathological fracture of the left hand that is healing routinely. Documentation should clearly state "pathological fracture," specify the left hand, and indicate that the encounter is for follow-up with normal healing progress. This code is appropriate after the initial treatment of the fracture.

• Ensure documentation specifies "pathological fracture" to differentiate from traumatic fractures.
• The 7th character "D" indicates a subsequent encounter for a fracture with routine healing; do not use for initial treatment or delayed/nonunion healing.
• Verify laterality (left hand) is clearly documented.