Oth fx head/neck of l femr, 7thQ

This code describes a malunion of an open fracture (Type I or II) affecting the head or neck of the left femur, indicating a complication where the bone has healed in an abnormal position. This specific code is used during a subsequent encounter, meaning the patient is receiving follow-up care for this previously treated injury and its resulting malunion.

Use this code when documenting follow-up care for a patient who previously sustained an open fracture of the head or neck of the left femur, and imaging or clinical assessment confirms that the fracture has healed with a significant deformity or misalignment. This applies to situations where surgical correction or ongoing management of the malunion is being performed or planned.

• Ensure documentation clearly specifies "left" femur and "head and neck" region.
• Verify the original fracture was an "open fracture type I or II" and that the current encounter is for a "malunion."
• Always assign additional codes for any associated complications or sequelae of the malunion.