Displ spiral fx shaft of r femr, subs for clos fx w nonunion

This code signifies a complex healing issue involving a spiral fracture in the shaft of the right thigh bone. Specifically, it indicates that the fracture fragments are not aligned correctly (displaced) and, despite previous treatment, the bone has failed to heal properly (nonunion). This code is used during follow-up care for this persistent healing complication.

Apply this code when a patient presents for ongoing management of a right femoral shaft spiral fracture that has not united, and the fracture fragments remain out of alignment. This would include scenarios such as follow-up appointments for surgical intervention to address the nonunion, or conservative management of the nonunion. It is appropriate for any encounter after the initial treatment of the fracture where nonunion is being addressed.

• Always ensure documentation clearly states "nonunion" and specifies the "right femur" and "spiral fracture of shaft."
• Verify the encounter is "subsequent" and the fracture is "closed" to align with this specific code.
• Do not use this code for initial fracture treatment or for malunion, which is a different healing complication.