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Z87.311

Billable

Personal history of (healed) other pathological fracture

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A patient has previously had a pathological fracture (bone break caused by disease rather than trauma) that has healed.

Coding Tips

  • Use this code for fractures caused by underlying disease (cancer, infection, metabolic disorders) other than osteoporosis.
  • Document the underlying cause of the pathological fracture to guide ongoing treatment and monitoring for recurrence.

Excludes 2 — Not included here, may code separately

  • personal history of osteoporosis fracture (Z87.310)

Code Hierarchy

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