Pathological fracture, left tibia, init encntr for fracture

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

Apply this code when documentation clearly states a pathological fracture of the left tibia. This is appropriate for the initial phase of treatment, such as surgical repair, cast application, or initial evaluation in an emergency department. Supporting documentation includes physician notes detailing the fracture etiology (e.g., osteoporosis, tumor, metabolic bone disease) and the initial encounter for care.

• Always sequence the underlying disease causing the pathological fracture first, followed by this code.
• Distinguish carefully between pathological fractures and traumatic fractures; documentation must specify "pathological."
• Ensure the encounter type (initial, subsequent, sequela) is accurately reflected by the 7th character.