Closed multiple fractures involving both lower limbs, lower with upper limb, and lower limb(s) with rib(s) and sternum

This code signifies a severe traumatic injury involving multiple closed fractures across various anatomical regions of the body. Specifically, it indicates fractures affecting both lower limbs, or a combination of lower and upper limbs, or lower limb(s) with associated fractures of the ribs and/or sternum, without an open wound communicating with the fracture site.

Use this code for patients presenting with extensive, non-open fractures involving the specified combinations of limbs, ribs, and sternum following significant trauma. Documentation should clearly detail the locations of all fractures and explicitly state that they are closed, often resulting from high-impact events like motor vehicle accidents or falls from significant heights.

• Ensure all fracture sites are documented as "closed" to avoid confusion with open fractures.
• This code is for multiple fractures involving the specified combinations; do not use for isolated fractures or open fractures.
• Always sequence this code as a primary diagnosis when it represents the main reason for the encounter, followed by specific fracture codes for each site.