Path fx in neopltc dis, l shldr, subs for fx w routn heal

This code signifies a fracture of the left shoulder that occurred due to an underlying neoplastic (cancerous) process, and the patient is now in a subsequent phase of care where the fracture is healing routinely. It indicates that the fracture was not caused by trauma but rather by the weakening of the bone by a tumor.

Use this code for a patient presenting for follow-up care of a left shoulder fracture caused by cancer, where the fracture is progressing as expected towards healing. Documentation should clearly state the neoplastic origin of the fracture, the anatomical site (left shoulder), and indicate a subsequent encounter with routine healing.

• Ensure documentation specifies "pathological fracture" and the laterality (left shoulder).
• The 7th character "D" indicates subsequent encounter for fracture with routine healing; do not use for initial treatment or delayed/nonunion healing.
• Always code the underlying neoplasm first, followed by this pathological fracture code.