Unsp intracap fx unsp femr, 7thQ

This code signifies a follow-up encounter for a previously sustained fracture within the hip joint capsule of an unidentifiable femur. The initial injury was an open fracture, classified as Type I or II, and has since healed improperly, resulting in a malunion.

This code is appropriate when a patient presents for ongoing care related to a poorly healed, previously open intracapsular femoral fracture. It specifically applies when the initial fracture type was I or II and the specific femur (left or right) is not documented.

• Ensure documentation clearly states "subsequent encounter" and "malunion."
• Verify the original fracture was an "open fracture type I or II" and intracapsular.
• Only use this code when the laterality of the femur is not specified in the medical record.