Disp fx of epiphy (separation) (upper) of l femr, 7thM

This code describes a specific type of fracture involving the growth plate (epiphysis) at the top of the left thigh bone, where the bone fragments are no longer aligned. This particular injury is an open fracture, meaning the skin was broken, and is further complicated by the bone failing to heal properly (nonunion) during a follow-up encounter.

Use this code for a patient presenting for ongoing management of a previously sustained open fracture of the upper left femoral epiphysis that has not healed. This applies when the initial injury was an open fracture classified as Type I or II, and the current encounter addresses the nonunion.

• Confirm the fracture is specifically of the upper epiphysis of the left femur, not the shaft or other parts.
• Verify documentation explicitly states "nonunion" and that the initial injury was an "open fracture type I or II."
• Ensure this is a "subsequent encounter" for the nonunion, not the initial treatment of the fracture.