Fx femur fol insrt ortho implnt/prosth/bone plt, left leg

This code signifies a fracture of the left femur that occurs after the placement of an orthopedic implant, such as a joint prosthesis (e.g., total hip replacement) or a bone plate. This is considered a periprosthetic or peri-implant fracture, indicating the fracture is related to the presence of the previously implanted device.

Apply this code when documentation clearly states a fracture of the left femur has occurred in a patient who previously underwent surgery for an orthopedic implant in that same femur. This typically applies to fractures occurring post-operatively, not during the initial implant procedure. Documentation should specify the left leg and the presence of an existing implant.

• Always confirm the laterality (left leg) from the medical record.
• Distinguish this from acute intraoperative fractures, which are coded differently.
• Ensure documentation specifies the type of orthopedic implant (e.g., prosthesis, plate) if available, though not strictly required for this specific code.