Oth fx shaft of l femr, 7thR

This code describes a situation where a patient has a left femoral shaft fracture, specifically an open fracture (types IIIA, IIIB, or IIIC), that is now in a healing phase but has united in an abnormal or misaligned position. This indicates a complication of healing where the bone fragments have joined, but not in their anatomically correct alignment, potentially leading to functional impairment.

Use this code when documenting follow-up care for a patient with a previously sustained open fracture of the shaft of the left femur (Gustilo-Anderson type IIIA, IIIB, or IIIC) who is now presenting with evidence of malunion. This applies to encounters where the malunion is being assessed, monitored, or treated, and the initial acute fracture treatment has concluded.

• Ensure documentation clearly specifies "left" femur and "shaft" involvement.
• Verify the original fracture was an "open" type IIIA, IIIB, or IIIC, as this impacts code selection.
• Confirm the encounter is for a "subsequent" visit addressing the malunion, not the initial acute injury.