I think it depends on whether or not the treatment is completed for the patient's fracture. We don't have enough information in the example provided to make an absolute determination. If the hardware was added for fixation and the fracture is healed and the hardware is removed according to documentation, wouldn't that be the status code for removal of sutures? If the patient isn't otherwise being treated for the fracture by the PCP i.e. with an x-ray or prescribing pain meds, or doing a physical examination of the affected limb, I'd hesitate to use a diagnosis code in this setting.
If, according to documentation, the fracture is still healing, then you'd probably want to use D with the fracture code. I think it would be unlikely that the patient would be referred to a PCP for suture removal when the patient still requires ACTIVE TREATMENT, i.e., needs a new cast, the patient is in extreme pain and needs fixation and pain meds, right after completing surgery weeks after injury, but I think there could plausibly for the sake of argument be a scenario where an A would be acceptable as well, such as the patient going to a new orthopedist for active treatment right after surgery.
It's a pretty big deal to my knowledge for the same practitioner/medical group/tax id to use the A code more than once. I have never heard of new practitioners getting flagged for using an A code ... yet.