Unsp fx shaft of right femur, init for opn fx type I/2

This code signifies a break in the main part of the right thigh bone, where the skin and soft tissue have been compromised, but the wound is relatively clean and small (Type I) or moderate (Type II). The specific location of the fracture along the shaft is not documented.

Apply this code for initial treatment of a right femoral shaft fracture that presents as an open injury, classified as Gustilo-Anderson Type I or II, when the exact segment of the shaft (e.g., proximal, mid, distal) is not specified in the medical record. This is appropriate for the acute phase of care, including surgical repair.

• Ensure documentation clearly states "right femur" and "shaft" and indicates an open fracture type I or II.
• If the specific part of the femoral shaft (e.g., proximal, mid, distal) is documented, a more specific code should be used.
• This code is for the initial encounter; subsequent encounters for routine healing or complications will require different seventh characters.