Unspecified fracture of head of right femur, sequela

This code indicates a long-term complication or late effect stemming from an unspecified fracture of the head of the right femur. It signifies that the initial acute injury has healed, but the patient is now experiencing a residual condition directly attributable to that past fracture. Examples of sequelae include chronic pain, nonunion, malunion, avascular necrosis, or degenerative changes.

Use this code when documenting a patient encounter for a condition that is a direct consequence of a previously sustained, unspecified fracture of the head of the right femur, and the acute phase of the original fracture has passed. This applies when the patient is being treated for the chronic effects rather than the initial injury itself.

• Always sequence the sequela code first, followed by a code describing the specific nature of the sequela (e.g., M84.451A for malunion of right femur).
• Ensure documentation clearly links the current condition to the past unspecified fracture of the right femoral head.
• Do not use this code for initial or subsequent encounters for the acute fracture itself.