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

This code signifies a fracture of the hip that occurred due to an underlying disease process, rather than trauma, and is currently in the healing phase. The specific location within the hip is not documented, and the patient is receiving routine follow-up care for this healing fracture.

Apply this code for patients presenting for routine follow-up appointments related to a pathological hip fracture that is healing normally. Documentation should clearly state "pathological fracture of the hip," indicate a subsequent encounter, and confirm routine healing without complications. This code is appropriate when the initial treatment has been completed and the patient is in the recovery phase.

• Ensure documentation specifies "pathological" to differentiate from traumatic fractures.
• Verify "subsequent encounter" and "routine healing" are explicitly stated or clearly implied in the medical record.
• Always code the underlying disease causing the pathological fracture first, as it is the primary etiology.