Nondisp spiral fx shaft of r femur, init for opn fx type I/2

This code signifies a fracture of the main part of the right thigh bone that runs in a spiral pattern, but the bone fragments are still in their normal alignment. The skin and soft tissue surrounding the fracture site are broken, indicating an open fracture, specifically classified as Type I or Type II according to the Gustilo-Anderson classification. This is the initial encounter for treatment of this injury.

This code is appropriate for a patient presenting for the first time with a right femoral shaft fracture that is visibly open to the environment, but the bone fragments themselves are not displaced. This would typically be documented by an orthopedic surgeon after initial assessment and before definitive treatment. It applies when the open nature of the fracture is classified as Gustilo-Anderson Type I (minimal skin damage, clean wound) or Type II (moderate skin damage, some muscle contusion).

• Ensure documentation clearly specifies "nondisplaced" and "spiral" morphology of the fracture.
• Verify the open fracture type (Type I or II) is explicitly stated or clearly inferable from the physician's notes.
• Confirm this is the initial encounter for treatment; subsequent care would require a different encounter character.