Path fx in oth dis, unsp ulna & rad, 7thG

This code signifies a fracture of an unspecified ulna and radius that occurred due to an underlying disease process, not from trauma. The fracture is currently in a phase of delayed healing, meaning it is not progressing towards union at the expected rate. This indicates ongoing management for the fracture's delayed consolidation.

Apply this code for patients presenting for follow-up care of a pathological fracture of the ulna and/or radius where healing is prolonged beyond the typical timeframe. Documentation should clearly state "pathological fracture," specify the ulna and/or radius as the affected bone(s), and indicate "delayed healing" or similar terminology. This code is appropriate for subsequent encounters after the initial treatment of the fracture.

• Ensure documentation explicitly states "pathological fracture" and the specific bone(s) involved (ulna and/or radius).
• Verify the encounter is for follow-up care of the fracture with delayed healing, not the initial treatment or a routine follow-up without healing complications.
• Always code the underlying disease causing the pathological fracture first, followed by this code.