Unspecified trochanteric fracture of right femur, sequela

This code signifies a long-term complication or late effect arising from an unspecified trochanteric fracture of the right femur. It indicates that the initial injury has healed, but the patient is experiencing residual problems directly attributable to that fracture. These sequelae could include chronic pain, nonunion, malunion, or functional limitations.

Use this code when documenting a patient presenting with a current condition or symptom that is a direct consequence of a previously sustained, unspecified trochanteric fracture of the right femur. This applies after the acute phase of the fracture has passed and the patient is no longer receiving active treatment for the initial break itself. It is appropriate for follow-up visits addressing the chronic effects of the injury.

• Always sequence the sequela code first, followed by a code describing the specific nature of the sequela (e.g., chronic pain, nonunion).
• Ensure documentation clearly links the current condition to the previous unspecified right trochanteric fracture.
• Do not use this code for initial encounters or active treatment of the acute fracture.