Pathological fracture in oth disease, right hand, init

This code signifies a fracture of the right hand that occurred due to an underlying systemic disease, rather than from significant trauma. The bone was weakened by a pathological process, making it susceptible to fracture from minimal or no force. This particular code specifies the initial treatment phase for this fracture.

Apply this code when documentation indicates a right hand fracture resulting from a pre-existing condition like osteoporosis, metastatic cancer, or Paget's disease, and the patient is receiving initial active treatment for the fracture. Supporting documentation should clearly state the pathological nature of the fracture and the specific underlying disease.

• Ensure the documentation explicitly states "pathological fracture" and identifies the underlying disease.
• Do not use this code for traumatic fractures, even if the patient has an underlying bone-weakening condition; those require a traumatic fracture code.
• Always sequence the underlying disease code first, followed by this pathological fracture code.