Path fx in neopltc dis, unsp ulna & rad, 7thG

This code signifies a fracture of an unspecified ulna and/or radius that occurred due to an underlying neoplastic (cancerous) process, and the patient is presenting for follow-up care where the fracture healing is progressing slower than expected. It indicates a complication of the neoplastic disease affecting bone integrity, specifically in the forearm.

Apply this code when documentation clearly states a pathological fracture of the ulna or radius, caused by a tumor, and the patient is seen for ongoing management of this fracture with noted delayed healing. Supporting documentation would include imaging reports confirming the fracture and delayed union, and physician notes linking the fracture to a neoplastic condition.

• Ensure the documentation specifies "pathological fracture" and links it to a neoplastic disease, not just a spontaneous fracture.
• Verify the encounter is for "subsequent care" and explicitly states "delayed healing" to justify the 7th character 'G'.
• Always sequence the underlying neoplasm code first, as it is the etiology of the pathological fracture.