Nondisp spiral fx shaft of unsp femr, 7thE

This code signifies a follow-up encounter for a patient with a spiral fracture in the shaft of an unspecified femur. The fracture is nondisplaced, meaning the bone fragments are still in their normal alignment, and it was an open fracture initially classified as Type I or Type II, indicating a break in the skin. The current encounter reflects routine healing of this open fracture.

This code is appropriate for subsequent visits where a patient is receiving ongoing care for a previously diagnosed nondisplaced spiral fracture of the femoral shaft that was initially an open fracture (Type I or II). It should be used when the healing process is progressing as expected without complications. This code would be assigned for routine follow-up appointments, cast changes, or physical therapy sessions during the healing phase.

• Ensure documentation specifies "nondisplaced" and "spiral" fracture of the femoral shaft.
• Verify the initial injury was an "open fracture type I or II" and the current encounter is for "routine healing."
• Do not use for initial encounters or for fractures with delayed healing, nonunion, or malunion.