Displ spiral fx shaft of unsp femr, 7thN

This code signifies a non-healing spiral fracture located in the shaft of an unspecified femur, which was initially an open fracture of type IIIA, IIIB, or IIIC. The fracture remains displaced, and the patient is presenting for follow-up care related to this ongoing nonunion.

Apply this code when documenting a subsequent encounter for a patient with a previously treated, but now non-united, displaced spiral fracture of the femoral shaft. This is specifically for cases where the initial injury was a severe open fracture (Gustilo-Anderson types IIIA, IIIB, or IIIC). This code is appropriate for ongoing management, such as follow-up appointments, cast changes, or evaluation for further surgical intervention for the nonunion.

• Ensure documentation clearly specifies a "subsequent encounter" and "nonunion" for this specific fracture type.
• Verify the original injury was an open fracture classified as type IIIA, IIIB, or IIIC.
• Do not use for initial encounters or for fractures that are healing normally.