Unsp fx shaft of unsp femur, subs for clos fx w malunion

This code signifies a follow-up encounter for a previously diagnosed fracture of the femoral shaft, where the specific location on the shaft was not documented. The fracture has since healed, but it has done so with an abnormal alignment (malunion), and the skin over the fracture site remained intact throughout the healing process.

This code is appropriate for subsequent visits where a patient is being managed for complications arising from a malunited closed femoral shaft fracture, and the initial fracture site on the shaft was not specified. This includes scenarios such as physical therapy for gait abnormalities or pain management related to the malunion.

• Ensure documentation clearly states "malunion" and that the fracture was previously closed.
• Verify that the encounter is for follow-up care of the malunion, not initial treatment of the fracture.
• Confirm that the specific location of the fracture on the femoral shaft was not documented in the patient's record.