Unsp intracap fx unsp femur, subs for clos fx w malunion

This code describes a follow-up encounter for a fracture located within the hip joint capsule of an unknown femur, which is now healing incorrectly (malunion) and was initially treated as a closed fracture. This indicates a complication in the healing process of a femoral neck or head fracture.

Use this code when documenting subsequent care for a patient whose intracapsular femoral fracture, of an unspecified side, has healed in a misaligned position. This would apply during clinic visits, physical therapy, or other follow-up appointments addressing the malunion.

• Ensure documentation clearly states "malunion" and that the encounter is subsequent to the initial fracture treatment.
• Verify the fracture location is intracapsular; if extracapsular, a different code series would be appropriate.
• If the laterality of the femur is known, a more specific code should be selected.