Displaced comminuted fracture of shaft of right femur, init

This code signifies a severe break in the main part of the right thigh bone, where the bone has shattered into multiple fragments and the pieces are no longer in their normal alignment. It indicates that this is the first time the patient is receiving treatment for this specific injury, and the skin over the fracture site remains intact.

Apply this code for patients presenting with an acute, comminuted fracture of the diaphysis of the right femur that is visibly displaced on imaging. This is appropriate for the initial hospital visit, emergency department encounter, or first physician office visit directly related to the injury. It is used when the fracture has not broken through the skin.

• Ensure documentation specifies "right" femur, "shaft" or "diaphysis," "comminuted," and "displaced."
• Confirm the encounter is for the initial treatment of the fracture, not subsequent care.
• Verify the fracture is explicitly documented as "closed" or that there is no mention of an open wound communicating with the fracture.