Displ seg fx shaft of r femr, 7thN

This code signifies a complex injury involving a broken right thigh bone (femur) that is displaced and broken into multiple pieces along its shaft. It specifically indicates that the fracture is an open fracture of severe type (IIIA, IIIB, or IIIC), meaning the bone has broken through the skin, and the bone fragments have failed to heal together after an initial treatment (nonunion).

This code is used for follow-up encounters when a patient is receiving ongoing treatment for a previously diagnosed open segmental fracture of the right femoral shaft. The key elements for its application are the open nature of the fracture (types IIIA, IIIB, or IIIC) and the documented complication of nonunion, indicating a failure of bone healing.

• Ensure documentation clearly specifies "segmental" fracture of the femoral shaft and "right" femur.
• Verify the open fracture type (IIIA, IIIB, or IIIC) is explicitly stated in the medical record.
• Confirm that "nonunion" is documented as the reason for the subsequent encounter, not delayed union or malunion.