Disp fx of base of nk of unsp femr, 7thQ

This code describes a femoral neck fracture located at the base, which has shifted out of alignment. Specifically, it indicates that the fracture was initially an open fracture (meaning the bone broke through the skin) of either Type I or Type II severity, and during a subsequent encounter, the bone has healed incorrectly, resulting in malunion.

This code is appropriate for follow-up visits where a patient is being treated for complications of a previously sustained open fracture of the base of the femoral neck, and imaging or clinical assessment confirms that the bone has healed in an abnormal position. It should be used when the malunion is the primary focus of the current encounter, following the initial treatment of the open fracture.

• Ensure documentation clearly specifies "base of neck" and "unspecified femur" if laterality is not documented.
• Verify that the original injury was an open fracture type I or II, and that the current encounter addresses the malunion.
• This "Q" seventh character indicates a subsequent encounter for a malunion, so confirm the patient is past the initial healing phase.