Pathological fracture in neoplastic disease, hip, unsp, init

This code signifies a fracture of the hip that has occurred due to bone weakening caused by a neoplastic (cancerous) process, rather than from trauma. It indicates that this is the initial episode of care for the fracture itself. The specific location within the hip is not documented.

Apply this code when documentation clearly states a pathological fracture of the hip, unspecified, is present and directly attributed to an underlying neoplastic disease. This code is appropriate for the initial treatment, evaluation, or surgical repair of the fracture. Supporting documentation should include imaging reports confirming the fracture and pathology reports or clinical notes confirming the neoplastic etiology.

• Always sequence the underlying neoplasm code first, followed by this code.
• Ensure documentation specifies "pathological fracture" and links it to a neoplastic process; do not use for stress fractures or fractures due to osteoporosis.
• If the specific site within the hip (e.g., femoral neck, intertrochanteric) is known, use a more specific code from the M84.55- subcategory.