Unsp trochan fx r femr, 7thR

This code describes a right femur fracture involving the trochanteric region, which was initially an open fracture of severe type (IIIA, IIIB, or IIIC) that has subsequently healed in an imperfect or misaligned position (malunion). The specific nature of the trochanteric fracture was not documented at the initial encounter.

This code is used when a patient presents for follow-up care, rehabilitation, or management of complications related to a previously treated open trochanteric fracture of the right femur that has resulted in malunion. It indicates that the initial open fracture was a severe type (IIIA, IIIB, or IIIC) and the specific trochanteric fracture type was not initially specified.

• Ensure documentation clearly states "malunion" and specifies the right femur.
• Verify the original fracture was an open fracture, type IIIA, IIIB, or IIIC, even if the specific trochanteric fracture type was not documented.
• This code is for subsequent encounters; an initial encounter code would be used for the acute injury.