Displ commnt fx shaft of r femr, init for opn fx type 3A/B/C

This code signifies a severe break in the main shaft of the right thigh bone, characterized by multiple fragments that are not properly aligned. It specifically indicates an open fracture, meaning the bone has broken through the skin, and is classified as a high-energy injury (Type IIIA, IIIB, or IIIC) requiring immediate medical attention. The "initial encounter" designation means this code is used for the first time the patient is receiving active treatment for this specific fracture.

This code is appropriate for documenting the initial diagnosis and treatment of a patient presenting with a right femoral shaft fracture that is both comminuted and displaced, and has an open wound communicating with the fracture site. It applies to emergency department visits, inpatient admissions, or initial outpatient consultations where definitive treatment, such as surgical intervention, is planned or initiated.

• Ensure documentation clearly specifies "right" femur and "shaft" to differentiate from other femoral locations.
• Verify the open fracture type (IIIA, IIIB, or IIIC) is documented by the physician, as this is a specific inclusion criterion for the code.
• Confirm this is the initial encounter for active treatment; subsequent encounters for routine healing or follow-up would use a different seventh character.