Displ spiral fx shaft of r femr, 7thQ

This code signifies a right femoral shaft fracture, specifically a spiral type, that was initially an open fracture (Type I or II) and has subsequently healed in an imperfect or misaligned position. The displacement indicates that the bone fragments are not in their normal anatomical alignment.

This code is appropriate for follow-up encounters when a patient is being treated for complications arising from a malunited open spiral fracture of the right femoral shaft. This includes scenarios where the malunion is causing functional impairment, pain, or requires further surgical intervention to correct the deformity.

• Ensure documentation clearly specifies "malunion" and the "subsequent encounter" for this specific type of fracture.
• Verify the laterality (right femur) and the fracture type (spiral, shaft) are explicitly stated in the medical record.
• Confirm the initial injury was an open fracture classified as Type I or II according to Gustilo-Anderson classification.