Displaced intertroch fx r femur, init for opn fx type 3A/B/C

This code signifies a fracture occurring between the greater and lesser trochanters of the right femur, where the bone fragments are no longer in their normal alignment. It specifically indicates an open fracture, meaning the skin and soft tissue are significantly damaged, exposing the bone, and is classified as a severe open fracture (Gustilo-Anderson type IIIA, IIIB, or IIIC). This code is used for the initial treatment of such an injury.

This code is appropriate for documenting the initial hospital admission or outpatient visit for a patient presenting with a newly diagnosed, displaced intertrochanteric fracture of the right femur that has broken through the skin. It is used when the wound is extensive, contaminated, or involves significant soft tissue loss, indicative of a Gustilo-Anderson type IIIA, IIIB, or IIIC open fracture.

• Ensure documentation clearly specifies "displaced" and identifies the "right femur" and "intertrochanteric" location.
• Verify the Gustilo-Anderson classification (IIIA, IIIB, or IIIC) for the open fracture is explicitly stated in the medical record.
• This code is only for the initial encounter; subsequent care for the same fracture will require a different encounter code.