Nondisp spiral fx shaft of r femr, 7thQ

This code signifies a follow-up encounter for a right femoral shaft fracture that is spiral in nature and has not shifted from its anatomical position. Crucially, the initial injury was an open fracture of Type I or II, and the bone has healed in an imperfect alignment, resulting in malunion.

This code is appropriate when a patient presents for ongoing management of a previously sustained open spiral fracture of the right femoral shaft, and imaging or clinical assessment confirms malunion. It is used for subsequent visits after the initial treatment, indicating the patient is still under care for the fracture and its complication.

• Ensure documentation clearly specifies "subsequent encounter" and "malunion" in addition to the fracture type and location.
• Verify the original fracture was indeed an "open fracture type I or II" as this impacts the seventh character.
• Do not use for initial treatment or for nonunion; specific codes exist for those scenarios.