Nondisp spiral fx shaft of unsp femr, 7thC

This code describes a fracture of the femoral shaft that follows a spiral pattern, meaning the fracture line twists around the bone. The fracture fragments are in their normal anatomical alignment (nondisplaced), and the injury involves an open wound where the bone has broken through the skin or is exposed due to significant soft tissue damage, classified as Gustilo-Anderson type IIIA, IIIB, or IIIC. This code is used for the initial treatment of this specific injury.

Apply this code for patients presenting with a newly diagnosed, nondisplaced spiral fracture of the femoral shaft that is open and classified as Gustilo-Anderson type IIIA, IIIB, or IIIC. This is appropriate for the initial surgical or non-surgical management of the fracture. It should be used when the specific side (left or right) of the femur is not documented.

• Ensure documentation clearly specifies "nondisplaced" and "spiral fracture of shaft."
• Confirm the open fracture type is explicitly documented as IIIA, IIIB, or IIIC.
• This "C" encounter code is only for the initial treatment phase of an open fracture.