Nondisp spiral fx shaft of r femr, 7thK

This code describes a right femur fracture that extends spirally along the bone shaft, where the bone fragments are still in their normal anatomical alignment. The key aspect is that this is a subsequent encounter for a fracture that has failed to heal properly (nonunion) and is currently being managed without an open surgical procedure.

Apply this code when documenting ongoing care for a patient whose initial right femoral shaft spiral fracture has not united, and the treatment involves conservative management (e.g., cast changes, physical therapy, monitoring) rather than an open reduction. This is appropriate for follow-up visits after the initial treatment phase, where nonunion is the primary concern.

• Ensure documentation clearly specifies "nondisplaced" and "spiral" fracture of the right femoral shaft.
• Confirm that the encounter is for "nonunion" and not delayed healing or routine follow-up for a healing fracture.
• Verify that the fracture is being treated as a "closed" fracture, meaning no open surgical intervention has occurred for this specific nonunion.