Pathological fracture, unsp femur, subs for fx w routn heal

This code signifies a bone fracture in an unspecified part of the femur that occurred due to a pre-existing disease process, rather than trauma. The patient is currently in the healing phase, and the fracture is progressing as expected without complications. This represents a follow-up encounter for ongoing management of the fracture.

Use this code for patients presenting for routine follow-up care of a pathological femoral fracture that is healing normally. Documentation should clearly indicate a pathological origin of the fracture (e.g., osteoporosis, tumor, metabolic bone disease) and that the encounter is for subsequent care with no healing complications.

• Ensure documentation specifies "pathological fracture" and not a traumatic fracture.
• Verify the encounter is for subsequent care and that healing is routine; otherwise, a different seventh character may be required.
• Always code the underlying disease causing the pathological fracture first, followed by this fracture code.