Nondisp seg fx shaft of unsp femr, 7thP

This code signifies a follow-up encounter for a patient who previously sustained a fracture in the middle section of the femur, where the bone broke into at least three pieces but remained in its normal anatomical alignment. Importantly, this subsequent encounter indicates that the fracture has healed imperfectly, resulting in a malunion, and the fracture site is not exposed to the outside environment.

This code is appropriate for documenting subsequent care, such as rehabilitation, follow-up imaging, or evaluation for surgical correction, for a closed, nondisplaced segmental femoral shaft fracture that has healed in a misaligned position. It should be used after the initial treatment of the fracture has concluded and the malunion has been identified.

• Ensure documentation clearly states "malunion" and specifies "subsequent encounter" for a closed fracture.
• Verify that the fracture is indeed segmental and located in the shaft of the femur.
• Do not use this code for nonunion (failure to heal) or for open fractures.