Oth fx shaft of r femr, 7thR

This code signifies a previously treated, severe open fracture of the shaft of the right femur that has healed improperly (malunion). The initial injury involved significant soft tissue damage, classified as Type IIIA, IIIB, or IIIC open fracture. This code is used when the patient is receiving follow-up care for this specific complication.

Apply this code for patients presenting for ongoing management of a malunited right femoral shaft fracture that was initially a severe open injury. This includes scenarios where the patient is undergoing rehabilitation, further surgical correction of the malunion, or evaluation of persistent symptoms related to the improper healing. It is appropriate for any encounter after the initial treatment of the fracture.

• Ensure documentation clearly specifies "malunion" and the "right femur shaft."
• Verify the original fracture was classified as an open fracture type IIIA, IIIB, or IIIC.
• This "R" seventh character indicates a subsequent encounter for a malunion, not the initial treatment of the fracture or a routine follow-up without complications.