Pathological fracture, right femur, subs for fx w delay heal

This code signifies a fracture of the right femur that occurred due to an underlying disease process (e.g., osteoporosis, tumor), and the patient is currently receiving care for this fracture which is not healing at the expected rate. It indicates a follow-up visit where the delayed healing of the pathological fracture is the primary focus.

Use this code for a patient presenting for ongoing management of a right femoral pathological fracture where healing is progressing slower than anticipated. Documentation should clearly state "pathological fracture," specify the right femur, and indicate "delayed healing" during a subsequent encounter. This code is appropriate for follow-up appointments, cast changes, or imaging reviews related to the healing process.

• Ensure documentation explicitly states "pathological fracture" and the specific bone involved (right femur).
• Verify that the encounter is "subsequent" and that "delayed healing" is noted, differentiating it from initial treatment or routine healing.
• Always code the underlying condition causing the pathological fracture (e.g., osteoporosis, metastatic bone disease) as a secondary diagnosis.