Path fracture in neoplastic disease, left foot, sequela

This code describes a bone fracture of the left foot that occurred due to weakening of the bone by a neoplastic (cancerous) process, and the patient is now presenting for treatment of a complication or late effect of that fracture. This indicates the acute phase of the fracture has passed, and the patient is dealing with residual issues.

Apply this code when documentation clearly indicates a pathological fracture of the left foot caused by a neoplasm, and the encounter is for the management of a sequela (e.g., nonunion, malunion, chronic pain, deformity) of that fracture. The medical record should specify the laterality (left foot) and the underlying neoplastic disease.

• Always sequence the underlying neoplasm code first, followed by this code.
• Do not use this code for an acute pathological fracture; use the appropriate M84.575- code for the initial or subsequent encounter.
• Ensure documentation explicitly states "sequela" or describes a chronic complication of the fracture.