Stress fracture, unsp femur, subs for fx w routn heal

This code signifies a stress fracture of an unspecified femur that is currently in the healing phase, following initial treatment. It indicates that the patient is receiving routine follow-up care for the fracture, which is progressing as expected without complications.

Apply this code for follow-up visits where a patient is being monitored for a previously diagnosed stress fracture of the femur, and the fracture is healing routinely. Documentation should confirm a stress fracture diagnosis, specify the femur as the affected bone (without laterality), and indicate that the encounter is for subsequent care with normal healing progression.

• Ensure documentation explicitly states "stress fracture" and "subsequent encounter" with "routine healing."
• Do not use this code if the fracture is complicated, nonunion, or malunion; different codes exist for those scenarios.
• Verify that the laterality of the femur (left or right) is not specified in the documentation; if it is, a more specific code should be used.