Nondisp intertroch fx r femr, 7thN

This code describes a situation where a patient has a right femur fracture located between the greater and lesser trochanters that is not aligned. This specific code is used when the patient is receiving follow-up care for a previous open fracture of this type, which was severe (Gustilo-Anderson type IIIA, IIIB, or IIIC), and the fracture has failed to heal properly.

Apply this code for subsequent encounters when a patient with a previously diagnosed and treated open intertrochanteric fracture of the right femur presents with evidence of nonunion. This would typically be used during clinic visits, follow-up imaging, or surgical interventions aimed at addressing the nonunion. It signifies ongoing management of a complicated fracture healing process.

• Ensure documentation clearly specifies "nonunion" and the Gustilo-Anderson open fracture type (IIIA, IIIB, or IIIC) from the initial injury.
• Verify laterality (right femur) and fracture displacement (nondisplaced) are explicitly stated in the medical record.
• This code is for subsequent encounters only; an initial encounter for this specific fracture would use a different code.