Displ seg fx shaft of r femur, subs for clos fx w delay heal

This code signifies a fracture of the shaft of the right femur that has broken into multiple fragments (segmental) and is no longer in its normal anatomical alignment. The patient is in a subsequent phase of care, and the fracture is healing slower than expected without surgical intervention.

This code is appropriate for follow-up encounters where a patient with a previously diagnosed displaced segmental fracture of the right femoral shaft is being monitored for delayed healing of a closed fracture. This would apply to situations where the physician notes that the bone is not uniting at the anticipated rate, but no open reduction or internal fixation has occurred during the current episode of care.

• Ensure documentation clearly states "delayed healing" for a closed fracture.
• Verify the fracture is specifically of the "shaft" and is "segmental" and "displaced."
• Confirm this is a "subsequent encounter" and not the initial treatment.