Displ spiral fx shaft of r femr, init for opn fx type 3A/B/C

This code signifies a break in the shaft of the right thigh bone that follows a spiral pattern, where the bone fragments are no longer in their normal alignment. The fracture is open, meaning the bone has broken through the skin, and is classified as a severe open fracture (Gustilo-Anderson Type IIIA, IIIB, or IIIC).

This code is appropriate for the initial treatment of a patient presenting with a right femoral shaft fracture that is visibly open and exhibits a spiral configuration on imaging. It is used when the open fracture is determined to be of a high severity based on the Gustilo-Anderson classification.

• Ensure documentation clearly specifies "right" femur and "spiral" fracture pattern.
• Verify the Gustilo-Anderson classification (IIIA, IIIB, or IIIC) is explicitly stated or clearly inferable from the physician's notes regarding soft tissue damage.
• This "initial encounter" code is only for the period of active treatment for the fracture.