Unsp trochanteric fracture of unspecified femur, sequela

This code indicates a long-term complication or late effect stemming from an unspecified fracture of the trochanteric region of the femur, where the specific side (left or right) is not documented. It signifies that the acute phase of the injury has passed, and the patient is now experiencing residual issues directly attributable to that past fracture.

Use this code when documenting a patient encounter for a condition or symptom that is a direct consequence of a previously sustained, unspecified trochanteric femoral fracture. This includes chronic pain, nonunion, malunion, or functional limitations that are clearly linked to the original injury after the initial healing period. This code is appropriate when the medical record does not specify which femur was affected.

• Always ensure documentation clearly links the current condition to a past trochanteric fracture.
• Only use this code when the specific side of the femur (left or right) is not documented.
• Pair this code with an additional code(s) to specify the nature of the sequela (e.g., chronic pain, nonunion).