Displaced apophyseal fx l femur, subs for clos fx w nonunion

This code signifies a fracture of the growth plate (apophysis) in the left thigh bone that has shifted out of alignment and has not healed properly. The patient is in a later stage of care for this injury, and the skin over the fracture site remains intact.

Use this code for follow-up encounters when a patient is receiving ongoing treatment for a left femoral apophyseal fracture that is displaced and has failed to unite. This applies when the fracture is still considered closed, meaning there is no open wound communicating with the fracture.

• Ensure documentation clearly states "nonunion" for the fracture healing status.
• Verify the fracture is specifically of the apophysis and located on the left femur.
• Confirm the encounter is for subsequent care and the fracture is closed.