Displ spiral fx shaft of unsp femr, 7thF

This code describes a specific type of femur fracture involving a spiral break in the shaft of the bone, where the bone fragments are no longer in their normal alignment. It indicates that the fracture is an open injury (meaning the bone broke through the skin) classified as Type IIIA, IIIB, or IIIC, and the patient is in a subsequent phase of care where the fracture is healing routinely.

Use this code for follow-up encounters for patients with a previously diagnosed displaced spiral fracture of the femoral shaft that was an open fracture (Type IIIA, IIIB, or IIIC). This applies when the patient is progressing well through the healing process without complications. This code would be appropriate for office visits, hospital follow-ups, or physical therapy sessions during the routine healing period.

• Ensure documentation specifies an open fracture type IIIA, IIIB, or IIIC and routine healing for subsequent encounters.
• Confirm the fracture is of the femoral shaft and has a spiral pattern, with displacement noted.
• Do not use for initial encounters or for fractures with delayed healing, nonunion, or malunion.