Displ apophyseal fx unsp femr, 7thM

This code signifies a fracture occurring at the growth plate (apophysis) of an unspecified femur that has become displaced. It specifically indicates that the fracture was initially an open fracture of type I or II, and the bone has failed to heal properly (nonunion) during a subsequent encounter for care.

Apply this code when documenting follow-up care for a patient with a previously treated open apophyseal femoral fracture (Gustilo-Anderson Type I or II) that has not united. This includes situations where the patient is presenting for ongoing management of the nonunion, such as evaluation for revision surgery or continued conservative treatment.

• Ensure documentation clearly specifies "nonunion" and the "subsequent encounter" for this specific type of open fracture.
• Verify the original open fracture was classified as Type I or II according to the Gustilo-Anderson classification.
• Do not use this code for initial encounters or for closed fractures.