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

This code describes a fracture of the femur that occurs after a patient has undergone a procedure to implant an orthopedic device such as a joint prosthesis, internal fixation device, or bone plate. This is a periprosthetic or peri-implant fracture, specifically affecting the thigh bone. The "unspecified leg" indicates that the laterality of the fracture is not documented.

Use this code when documentation clearly states a fracture of the femur occurred subsequent to the insertion of an orthopedic implant, joint prosthesis, or bone plate. This applies to both acute and pathological fractures around existing hardware. Ensure the medical record explicitly identifies the femur as the fractured bone and confirms the presence of a prior orthopedic implant.

• Always seek clarification for laterality if "unspecified leg" is documented, as a more specific code exists.
• Distinguish this from a fracture due to the implant failing, which would typically be coded differently (e.g., T84.010-).
• This code is for the fracture itself; additional codes may be needed for complications of the implant (e.g., mechanical complications).