Displ spiral fx shaft of unsp femr, init for opn fx type I/2

This code signifies a complete break in the shaft of the femur, where the bone fragments are not properly aligned and the fracture line spirals around the bone. It specifically indicates an open fracture, meaning the skin and soft tissues are compromised, exposing the bone to the external environment, and is being treated for the first time.

Apply this code for initial encounters involving a patient presenting with a displaced spiral fracture of the femoral shaft that has broken through the skin (Type I or II open fracture). This is appropriate when the patient is receiving active treatment for the fracture, such as surgical repair or casting.

• Ensure documentation specifies "displaced" and "spiral" to support this specific fracture type.
• Verify the encounter is "initial" and that the fracture is indeed "open" (Type I or II) as per Gustilo-Anderson classification.
• Confirm the fracture location is the "shaft" of the femur; other femoral locations require different codes.