Displ commnt fx shaft of r femur, init for opn fx type I/2

This code signifies a severe break in the shaft of the right thigh bone (femur) where the bone has shattered into multiple pieces and the fragments are no longer in their normal alignment. This specific injury also involves an open wound, indicating that the bone may have pierced the skin or there is a direct communication between the fracture and the outside environment, classified as a Type I or Type II open fracture.

This code is appropriate for the initial treatment of a patient presenting with a comminuted fracture of the right femoral shaft that is visibly displaced and has an associated open wound. It is used when the fracture is classified as an open fracture Type I or II according to the Gustilo-Anderson classification system. This code would be assigned for the initial surgical repair or stabilization of such an injury.

• Ensure documentation clearly specifies "comminuted" and "displaced" for the femoral shaft fracture.
• Verify the open fracture type (I or II) is explicitly stated or can be clearly inferred from the clinical notes.
• This code is for the "initial encounter"; subsequent care would require a different encounter character.