M96.661 Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg

ICD10CM code

#### Name of the Condition
- Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg
- ICD-10-CM Code: M96.661

#### Summary
This condition refers to a fracture of the femur (thigh bone) that occurs after an orthopedic procedure involving the insertion of devices such as implants, joint prostheses, or bone plates, specifically affecting the right leg.

#### Causes
- The fracture can be caused due to complications from the surgical procedure itself.
- It may result from mechanical stress on the surgical site or an improper alignment of the implant.

#### Risk Factors
- Previous surgical interventions on the femur.
- Osteoporosis or other conditions that weaken bones.
- Advanced age, which can compromise bone healing.

#### Symptoms
- Severe pain in the right leg.
- Swelling and bruising over the affected area.
- Inability to bear weight on the right leg or difficulty walking.

#### Diagnosis
- Physical examination to assess mobility and pain.
- Imaging tests like X-rays or CT scans to visualize the fracture.

#### Treatment Options
- Surgical intervention to repair or replace the implant and stabilize the fracture.
- Pain management through medications.
- Physical therapy to aid in recovery and strengthen the leg.

#### Prognosis and Follow-Up
- Prognosis can vary; some patients may recover well with appropriate treatment.
- Regular follow-ups are necessary to ensure proper healing and monitor for any complications.

#### Complications
- Non-union or delayed healing of the fracture.
- Misalignment or failure of the orthopedic implant.
- Increased risk of infection at the surgical site.

#### Lifestyle & Prevention
- Adequate intake of calcium and vitamin D to strengthen bones.
- Avoidance of high-impact activities that could strain the leg.
- Following post-surgical care instructions diligently.

#### When to Seek Professional Help
- Sudden increase in pain or swelling in the right leg.
- Signs of infection, such as redness or discharge at the surgical site.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS)
- National Osteoporosis Foundation (NOF)

#### Tips for Medical Coders
- Verify that the fracture is associated with an orthopedic procedure and involves the right femur.
- Ensure the appropriate laterality is documented.
- Double-check for any additional codes needed to specify complications or the presence of the orthopedic device.

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