Nondisp spiral fx shaft of r femr, 7thR

This code describes a situation where a patient has a spiral fracture in the middle part of their right thigh bone that is not currently displaced. This specific encounter is for ongoing care of an open fracture (where the bone broke through the skin) that has healed incorrectly, resulting in a malunion.

Use this code when documenting follow-up care for a patient with a previously sustained open spiral fracture of the right femoral shaft that has healed in an unsatisfactory alignment. This applies to situations where the fracture was initially classified as an open type IIIA, IIIB, or IIIC and the current visit addresses the resulting malunion.

• Ensure documentation clearly specifies "right femur" and "spiral fracture of shaft."
• Verify that the encounter is for a "subsequent encounter" and that a "malunion" is present.
• Confirm the original open fracture type (IIIA, IIIB, or IIIC) is documented or can be inferred from the patient's history.