Nondisp spiral fx shaft of r femr, 7thM

This code describes a right femur fracture that is spiral in nature, located in the shaft, and has not shifted out of alignment. It specifically indicates that the initial injury was an open fracture (Type I or II), and the bone is now failing to heal properly, resulting in a nonunion.

This code is appropriate for follow-up encounters where a patient is being treated for a previously diagnosed nondisplaced spiral fracture of the right femoral shaft that was initially an open fracture. It is used when documentation confirms that the fracture is not healing as expected and has progressed to a nonunion. This would typically be seen in patients undergoing ongoing management, such as repeat imaging, surgical planning for revision, or continued conservative treatment for the nonunion.

• Ensure documentation clearly specifies "nondisplaced," "spiral," "shaft," and "right femur."
• Verify that the original fracture was an "open fracture type I or II" and that "nonunion" is explicitly stated.
• This code is for subsequent encounters; use the appropriate initial encounter code for the first visit.