Nondisp spiral fx shaft of r femr, 7thC

This code describes a fracture of the right thigh bone's main shaft that runs in a spiral pattern, but the bone fragments are still in their normal alignment. It specifically indicates that the skin and soft tissues around the fracture are significantly damaged, exposing the bone to the outside environment. This is an initial encounter for the injury.

This code is appropriate for a patient presenting for the first time with a right femoral shaft fracture resulting from a high-energy injury, such as a motor vehicle accident or a fall from a significant height, where there is extensive soft tissue damage and bone exposure. It is used when the fracture pattern is spiral and the bone fragments are not displaced.

• Ensure documentation clearly specifies "nondisplaced" and "spiral" fracture of the right femoral shaft.
• Verify the open fracture type (IIIA, IIIB, or IIIC) is explicitly stated or clearly inferable from the clinical notes describing the wound.
• Confirm this is the patient's initial encounter for this specific injury, not a subsequent visit for follow-up care or complications.