Nondisp commnt fx shaft of unsp femr, 7thQ

This code describes a femur shaft fracture that has broken into multiple pieces (comminuted) but where the bone fragments are still in their normal anatomical alignment (nondisplaced). It specifically indicates that this is a follow-up encounter for an open fracture (where the skin was broken) of either Type I or II, and the fracture has healed in an imperfect position (malunion).

Use this code when documenting a patient's follow-up care for a previously treated open comminuted femoral shaft fracture that has now developed a malunion. This applies to situations where the initial injury was an open fracture, and the current encounter addresses the ongoing management or complications of the malunited healing.

• Ensure documentation clearly specifies "nondisplaced" and "comminuted" for the fracture type.
• Verify the original injury was an "open fracture type I or II" and the current status is "malunion."
• This "Q" seventh character indicates a subsequent encounter for malunion, not initial treatment.