Oth fx head/neck of left femur, subs for clos fx w malunion

This code signifies a fracture of the head or neck of the left femur, other than a basic or displaced type, that is currently healing but has united in an undesirable position (malunion). This specific encounter is for ongoing care of the closed fracture, where the bone has not broken through the skin.

Apply this code when a patient presents for follow-up care of a previously diagnosed closed fracture of the left femoral head or neck, and imaging or clinical assessment confirms malunion. This is appropriate for subsequent visits after the initial treatment, where the focus is on managing the malunion.

• Ensure documentation clearly specifies "malunion" and that the fracture is of the head or neck of the left femur.
• Verify that the encounter is for a "subsequent" visit, not the initial treatment of the fracture.
• Confirm the fracture was "closed" at the time of injury; open fractures have different coding pathways.