Path fx in oth disease, hip, unsp, subs for fx w routn heal

This code signifies a hip fracture that occurred due to an underlying disease process, not trauma, and is currently in a subsequent phase of healing with expected routine progression. The specific hip bone involved is not documented. This indicates ongoing management of a pathological fracture.

Apply this code for follow-up encounters where a patient is receiving care for a previously diagnosed pathological hip fracture that is healing normally. Documentation should clearly state "pathological fracture," specify the hip (even if unspecified as in this code), and indicate a subsequent encounter with routine healing.

• Ensure documentation specifies "pathological fracture" and not a traumatic fracture.
• Verify the encounter type is subsequent for fracture care, not initial or sequela.
• Confirm routine healing is documented; if delayed, nonunion, or malunion, a different seventh character is required.