Unsp fx r femur, subs for opn fx type 3A/B/C w routn heal

Unspecified fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

AIClinical Context

Clinical Description

This code signifies an unspecified fracture of the right femur that is currently undergoing routine healing. The initial injury was an open fracture, specifically classified as Type IIIA, IIIB, or IIIC, indicating significant soft tissue damage and potential contamination. This code is used during follow-up care after the initial treatment.

When to Use

This code is appropriate for subsequent encounters when a patient with a previously diagnosed unspecified open right femur fracture (Type IIIA, IIIB, or IIIC) is receiving ongoing care and demonstrating expected healing progress. It would be used for follow-up appointments, cast changes, or physical therapy sessions during the routine healing phase.

Coding Tips

Ensure documentation clearly specifies "subsequent encounter" and "routine healing" for an open fracture.
Verify the original fracture was indeed an open fracture classified as Type IIIA, IIIB, or IIIC.
Do not use this code for initial treatment or for encounters where delayed healing, nonunion, or malunion are present.

AI-generated reference. Verify against official guidelines.

Crosswalks

V54.15ApproxICD-9

Same Category

S72Fracture of femur S72.0Fracture of head and neck of femur S72.00Fracture of unspecified part of neck of femur S72.001Fracture of unspecified part of neck of right femur S72.001A