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

This code signifies a fracture of the right ankle that occurred due to an underlying neoplastic process, and the fracture is currently healing with an unsatisfactory alignment (malunion). This indicates a complication in the healing of a pathological fracture.

Apply this code when documentation specifies a right ankle fracture resulting from cancer, and the patient is presenting for follow-up care where the fracture is noted to have malunited. This code is appropriate for subsequent encounters after the initial treatment of the fracture.

• Ensure documentation clearly states "right ankle" and specifies "pathological fracture" due to neoplastic disease.
• The "P" seventh character indicates a subsequent encounter for a fracture with malunion; do not use for initial care or routine healing.
• Always sequence the code for the underlying neoplasm first, followed by this code.