Displ spiral fx shaft of r femr, 7thN

This code signifies a complex injury involving a spiral fracture of the shaft of the right femur that is no longer in proper alignment. It specifically indicates that the fracture is an open fracture (meaning the bone broke through the skin) of a severe type (IIIA, IIIB, or IIIC) and has failed to heal after an initial treatment, leading to a nonunion.

Use this code for a patient presenting for ongoing management or treatment of a previously diagnosed displaced spiral fracture of the right femoral shaft that was an open fracture (type IIIA, IIIB, or IIIC) and has developed a nonunion. This code is appropriate for subsequent encounters after the initial treatment of the fracture.

• Ensure documentation clearly specifies "nonunion" and the "subsequent encounter" status.
• Verify the open fracture type (IIIA, IIIB, or IIIC) is explicitly documented.
• Confirm the fracture is of the femoral shaft and on the right side.