Oth fx right femur, subs for opn fx type I/2 w routn heal

This code signifies a follow-up visit for a patient who sustained an open fracture of the right femur, specifically classified as type I or II, and is currently experiencing routine healing. It indicates that the initial injury was an open fracture, meaning the skin was broken, and the healing process is progressing as expected without complications.

Apply this code for subsequent encounters where a patient is being monitored for an open right femoral fracture (Gustilo-Anderson type I or II) that is healing routinely. This would include office visits, follow-up imaging, or physical therapy sessions during the uncomplicated healing phase.

• Ensure documentation specifies an open fracture of the right femur, type I or II.
• Verify that the encounter is "subsequent" and healing is described as "routine" or "expected."
• Do not use this code for initial treatment or for fractures with delayed healing, nonunion, or malunion.