Seventh-character options for a pathologic fracture differ by encounter type in an orthopedic follow-up. How should the coder choose between initial and subsequent characters?
Select an answer to reveal the explanation.
Short Explanation
Seventh characters are the episode timeline: active treatment versus “checking the healing.” Pathologic fractures still need that stamp—don’t leave it blank or slap sequela on a routine healing visit.
Full Explanation
Pathologic fracture codes require a seventh character that reflects the encounter: initial for active treatment and subsequent for routine care during healing. Sequela is reserved for late effects after the fracture healing phase, not for ordinary follow-up. Seventh characters remain required in physician-based coding when the code structure mandates them.