Nondisp spiral fx shaft of r femr, 7thN

This code signifies a right femur shaft fracture that is spiral in nature and has not shifted from its anatomical position. It specifically indicates that the patient is in a subsequent phase of care for an open fracture (Type IIIA, IIIB, or IIIC) where the bone fragments have failed to heal properly, resulting in a nonunion.

Apply this code when documenting ongoing treatment for a patient with a previously diagnosed open spiral fracture of the right femoral shaft that has developed a nonunion. This is appropriate for follow-up visits, surgical interventions for nonunion, or other management of the unhealed fracture after the initial acute care.

• Ensure documentation clearly specifies "nonunion" and the "subsequent encounter" status for this specific fracture type.
• Verify the original open fracture type (IIIA, IIIB, or IIIC) was previously documented and is consistent with the current encounter.
• Do not use for initial encounters or for fractures that have healed or are in the process of routine healing (malunion).