Nondisp fx of epiphy (separation) (upper) of unsp femr, 7thK

This code signifies a follow-up encounter for a fracture of the growth plate (epiphysis) in the upper part of an unspecified femur that was initially closed (skin intact). Crucially, despite previous treatment, the bone fragments have failed to heal together, indicating a nonunion.

This code is appropriate when a patient presents for ongoing management of a previously diagnosed nondisplaced epiphyseal fracture of the upper femur, and imaging or clinical assessment confirms that the fracture has not united. This would include visits for further evaluation, planning for revision surgery, or continued conservative management of the nonunion.

• Ensure documentation clearly states "nonunion" and specifies the "epiphysis" of the "upper femur."
• Verify that the encounter is "subsequent" and the initial fracture was "closed."
• Do not use for initial fracture treatment or for malunion (healing in an incorrect position).