Nondisp spiral fx shaft of unsp femr, 7thH

This code describes a spiral fracture located in the shaft of the femur, where the bone fragments are still in their normal anatomical alignment (nondisplaced). This specific instance involves an open fracture (Type I or II) that is not healing at the expected rate, indicating a complication in the recovery process. The "H" suffix signifies that this is a subsequent encounter for care related to this delayed healing.

Use this code when documenting follow-up care for a patient with a previously diagnosed nondisplaced spiral fracture of the femoral shaft that was initially an open fracture (Type I or II). This code is appropriate when the physician explicitly notes delayed healing as a current concern during the encounter. This applies to situations where the patient is receiving ongoing treatment, such as cast changes, wound care, or monitoring for nonunion, due to the slow healing.

• Ensure documentation clearly specifies "nondisplaced" and "spiral fracture of shaft" for the femur.
• Verify the original injury was an "open fracture type I or II" and that "delayed healing" is explicitly stated as the reason for the subsequent encounter.
• Do not use this code for initial encounters, routine follow-up without complications, or for nonunion/malunion, which have separate codes.