Displ commnt fx shaft of l femr, subs for clos fx w nonunion

This code signifies a complex break in the main part (shaft) of the left thigh bone, where the bone has shattered into multiple pieces and the fragments are not in their proper alignment. Furthermore, this specific encounter is for ongoing management of the fracture, which has failed to heal properly despite initial treatment, and the skin over the fracture site remains intact.

This code is appropriate for follow-up visits where a patient is being treated for a previously diagnosed comminuted and displaced fracture of the left femoral shaft that has not united. This includes situations where the patient is undergoing further non-surgical interventions or being evaluated for potential surgical correction of the nonunion.

• Ensure documentation clearly states "nonunion" and that the fracture is "closed" for this subsequent encounter.
• Verify the laterality (left femur) and the specific fracture type (comminuted, displaced shaft fracture).
• Do not use this code for initial treatment or for malunion; a separate code exists for malunion.