Nondisp spiral fx shaft of unsp femr, 7thM

This code describes a spiral fracture of the femoral shaft that is not displaced, meaning the bone fragments are still in their normal alignment. It specifically indicates that this is a subsequent encounter for an open fracture (where the skin was broken) of Type I or II, and the fracture has failed to heal properly (nonunion).

Use this code when documenting follow-up care for a patient with a previously treated open spiral fracture of the femoral shaft that has developed a nonunion. This applies when the fracture was initially classified as an open Type I or II, and the current encounter addresses the ongoing issue of the bone not healing.

• Ensure documentation clearly specifies "nonunion" and the initial open fracture type (I or II).
• Verify the fracture location is the femoral shaft and the morphology is spiral.
• Confirm the encounter is for subsequent care, not the initial treatment.