Path fx in neopltc disease, r shldr, subs for fx w nonunion

This code signifies a fracture of the right shoulder that occurred due to an underlying neoplastic (cancerous) process, which has failed to heal properly (nonunion). The patient is presenting for follow-up care related to this unhealed pathological fracture.

Apply this code when a patient with a known neoplastic disease presents with a right shoulder fracture that has not united, and the encounter is for ongoing treatment or management of this nonunion. Documentation should clearly state "pathological fracture," "nonunion," "right shoulder," and indicate a subsequent encounter for the fracture.

• Always sequence the underlying neoplasm code first, followed by this fracture code.
• Distinguish between initial, subsequent, and sequela encounters for fracture care; "K" indicates subsequent for nonunion.
• Ensure documentation specifies the laterality (right shoulder) and the type of healing complication (nonunion).