Path fracture in neoplastic disease, right hand, init

This code signifies a bone fracture in the right hand that occurred due to an underlying neoplastic (cancerous) process, rather than trauma. The bone was weakened by the presence of a tumor, leading to the fracture. This specific code indicates the initial treatment or evaluation for this particular fracture.

Apply this code when documentation clearly states a right hand fracture is pathological and directly attributed to a neoplastic disease. This is appropriate for the initial encounter where the fracture is diagnosed and treatment plans are initiated. Supporting documentation includes pathology reports confirming neoplastic involvement, imaging studies showing a tumor at the fracture site, and physician notes linking the fracture to the malignancy.

• Ensure documentation explicitly states "pathological fracture" and specifies the right hand.
• Verify the encounter is for the initial treatment of this specific fracture; subsequent encounters will require different seventh characters.
• Always sequence the underlying neoplasm code first, followed by this pathological fracture code.