Multiple open fractures involving both upper limbs, and upper limb with rib(s) and sternum

This code signifies a severe traumatic injury involving multiple open fractures affecting both upper extremities. It also covers scenarios where one upper limb has open fractures, and there are co-occurring open fractures of the ribs and/or sternum. "Open" indicates a break in the skin, exposing the bone.

This code is appropriate for patients presenting with complex, high-impact trauma resulting in the specified combination of open fractures. Documentation must clearly specify "open" fractures and identify involvement of both upper limbs, or one upper limb with associated rib/sternum fractures. Use when the injury is acute and the primary diagnosis.

• Ensure documentation explicitly states "open" fractures; otherwise, a closed fracture code would be more appropriate.
• Verify all involved anatomical sites are clearly documented to support the "multiple" and specific limb/rib/sternum involvement.
• This code represents the overall injury; additional codes for specific fracture sites (e.g., humerus, radius, ulna, ribs) may be required for greater specificity, depending on payer guidelines.