Displaced spiral fracture of shaft of left femur, init

This code signifies a fracture occurring in the middle portion of the left thigh bone, where the break follows a spiral pattern and the bone fragments are no longer in their normal alignment. It specifically indicates that this is the first time the patient is receiving active treatment for this particular injury, and the skin over the fracture site remains intact.

Apply this code for patients presenting with a newly diagnosed, non-open spiral fracture of the shaft of the left femur that shows displacement on imaging. This is appropriate for the initial surgical repair, casting, or other definitive treatment provided for the acute injury.

• Ensure documentation specifies "left" femur and "shaft" location.
• Confirm imaging reports describe a "spiral" fracture pattern and "displacement."
• Verify this is the initial encounter for active treatment of the fracture, not a follow-up.