Displ spiral fx shaft of r femr, 7thM

This code describes a specific type of fracture in the shaft of the right femur where the bone is broken in a spiral pattern and the fragments are out of alignment. It indicates that the patient is in a later stage of care for an open fracture (where the skin was broken) that is failing to heal properly, specifically a Type I or Type II open fracture.

This code is used when documenting follow-up care for a patient with a previously diagnosed displaced spiral fracture of the right femoral shaft. It is appropriate when the fracture was initially an open fracture (Type I or II) and there is evidence of nonunion, meaning the bone is not healing as expected. This code would be assigned during subsequent encounters for ongoing management of this specific complication.

• Ensure documentation clearly specifies "nonunion" for this subsequent encounter code.
• Verify the original fracture was an open fracture, Type I or II, as this is a specific inclusion criterion.
• Confirm the laterality (right femur) and fracture type (spiral, shaft, displaced) are accurately reflected.