Pathological fracture, right femur, init encntr for fracture

This code signifies a fracture of the right femur that occurred due to an underlying disease process, rather than significant trauma. It indicates the patient is receiving initial active treatment for this specific fracture.

Apply this code when documentation clearly states a pathological fracture of the right femur, such as one caused by osteoporosis, metastatic cancer, or a bone cyst. Supporting documentation should include imaging reports confirming the fracture and a physician's note identifying the pathological nature and the initial treatment phase.

• Ensure the documentation explicitly states "pathological fracture" and specifies the right femur.
• Confirm the encounter is for the initial treatment of the fracture; subsequent encounters will require different seventh characters.
• Always code the underlying disease causing the pathological fracture first, followed by this fracture code.