Path fx in neopltc disease, r tibia, subs for fx w malunion

This code signifies a bone fracture of the right tibia that occurred due to an underlying cancerous condition, and the patient is presenting for follow-up care where the fracture has healed incorrectly (malunion). This indicates a complication of the healing process in a bone weakened by malignancy.

Use this code for patients with a documented history of a pathological fracture of the right tibia due to neoplastic disease who are now being treated for a malunion of that fracture. Documentation should clearly state the neoplastic etiology of the fracture and the subsequent malunion.

• Always sequence the underlying neoplasm code first, followed by this code.
• Ensure documentation specifies "malunion" and not "nonunion" (which has a different code).
• Verify the laterality (right tibia) is explicitly stated in the medical record.