Displ spiral fx shaft of unsp femr, 7thQ

This code describes a femur fracture that occurred in the shaft, specifically a spiral type, which has since healed improperly (malunion). The original injury was an open fracture, classified as Type I or II, and this code is used for follow-up care after the initial treatment.

Apply this code when documenting subsequent encounters for a patient who previously sustained an open spiral fracture of the femoral shaft, and the fracture has now healed with a malunion. This is appropriate for follow-up visits, rehabilitation, or further surgical planning related to the malunion.

• Ensure documentation clearly specifies a malunion and that the original fracture was an open Type I or II.
• Verify the encounter is subsequent to the initial treatment of the fracture.
• Laterality (left or right femur) is unspecified in this code; if known, a more specific code should be used.