Displacement of internal fixation device of bones, sequela

This code signifies a complication where an internal fixation device, such as a plate, screw, or rod, used to stabilize a fracture in a bone other than a joint prosthesis or spinal fusion device, has shifted from its intended position. This displacement can lead to pain, instability, or impaired healing of the original fracture. It represents a late effect or complication of the initial surgical procedure.

Use this code when a patient presents with symptoms related to a displaced internal fixation device in a non-spinal, non-joint prosthesis bone, and the displacement is a long-term consequence of the initial surgery. This would apply to situations where the original fracture has healed or is in the process of healing, but the hardware itself has moved.

• Always code the specific type of internal fixation device displacement if a more specific code is available (e.g., for joint prostheses).
• Ensure documentation clearly states the displacement is a "sequela" or late effect, not an acute complication during the initial healing phase.
• An external cause code may be appropriate if the displacement was due to a subsequent injury.