Pathological fracture in other disease, right foot, sequela

This code signifies a pathological fracture of the right foot that occurred due to an underlying disease process, and the patient is now experiencing a late effect or complication of that fracture. It indicates that the acute phase of the fracture has passed, and the current encounter addresses a residual problem stemming from the original pathological break.

Use this code when a patient presents for treatment of a long-term complication or sequela directly related to a previously sustained pathological fracture of the right foot. Documentation should clearly state the original pathological fracture, the underlying disease causing it, and the current sequela being addressed. Examples include chronic pain, nonunion, malunion, or deformity resulting from the healed or unhealed fracture.

• Always sequence this code after the code for the underlying disease that caused the pathological fracture.
• Do not use this code for initial or subsequent encounters for the active treatment of the pathological fracture itself.
• Ensure documentation specifies "right foot" and clearly indicates a sequela, not an acute or healing fracture.