Path fracture, right toe(s), subs for fx w delay heal

This diagnosis code signifies a fracture of the right toe(s) that occurred due to an underlying disease process, not from significant trauma. The "G" suffix indicates that the patient is in the healing phase, but the fracture is not progressing as expected, requiring ongoing medical management.

This code is appropriate for encounters where a patient is receiving follow-up care for a right toe pathological fracture that is exhibiting delayed healing. Documentation should clearly state the pathological nature of the fracture, the specific toe(s) involved, and evidence of delayed union or nonunion. This code would be used after the initial treatment of the fracture.

• Ensure documentation explicitly states "pathological fracture" and identifies the right toe(s).
• Verify that the encounter is for follow-up care and that healing is explicitly noted as "delayed."
• Do not use this code for initial fracture treatment or for routine healing without complications.