Displ seg fx shaft of unsp femr, 7thH

This code signifies a fracture of the femoral shaft that is broken into at least three pieces (segmental) and is no longer in its normal anatomical alignment (displaced). The fracture was initially an open fracture of Gustilo-Anderson type I or II, meaning there was a break in the skin communicating with the fracture, and the healing process is now prolonged beyond the expected timeframe.

Apply this code when documenting follow-up care for a patient with a previously diagnosed open segmental femoral shaft fracture (Gustilo-Anderson type I or II) who is experiencing delayed union or nonunion. This is appropriate for subsequent encounters after the initial treatment of the acute fracture.

• Ensure documentation clearly specifies "segmental" and "displaced" for the femoral shaft fracture.
• Confirm the initial injury was an "open fracture type I or II" and that "delayed healing" is explicitly noted.
• This code is for subsequent encounters; use an acute fracture code for the initial treatment.