Complete transverse atyp femoral fracture, left leg, 7thP

This code signifies a complete break across the shaft of the left femur, specifically an atypical fracture, which has previously been treated but is now healing incorrectly (malunion). This particular encounter is for ongoing management of the fracture and its malunion.

Apply this code for patients presenting for follow-up care, rehabilitation, or further surgical intervention related to a previously treated complete transverse atypical femoral fracture of the left leg that has resulted in malunion. Documentation should clearly state "malunion" and specify the left femur and the atypical nature of the fracture.

• Ensure documentation explicitly states "malunion" and not just "nonunion" or "delayed healing," as these have different codes.
• Verify the laterality (left leg) is clearly documented.
• This "P" seventh character indicates a subsequent encounter for a fracture with malunion; do not use for initial treatment or routine follow-up without malunion.