Displ spiral fx shaft of unsp femr, 7thC

This code signifies a fracture of the main shaft of the femur, where the bone fragments are not properly aligned (displaced) and the fracture line spirals around the bone. It specifically indicates an open fracture, meaning the skin and soft tissues are significantly damaged, exposing the bone to the external environment, and is classified as a severe open fracture (Gustilo-Anderson type IIIA, IIIB, or IIIC). This code is used for the initial treatment of such an injury.

This code is appropriate for the initial encounter when a patient presents with a displaced spiral fracture of the femoral shaft, and the injury involves a severe open wound exposing the bone. This includes scenarios where there is extensive soft tissue damage, periosteal stripping, or significant contamination, requiring immediate surgical intervention.

• Ensure documentation clearly specifies "displaced" and "spiral" fracture of the femoral shaft.
• Verify the open fracture type is explicitly documented as IIIA, IIIB, or IIIC for accurate assignment.
• Confirm this is the initial encounter for treatment of the fracture, not a subsequent visit for follow-up care.