Nondisp apophyseal fx r femur, subs for clos fx w nonunion

This code signifies a fracture of the growth plate (apophysis) in the right thigh bone that has not shifted out of alignment. It specifically indicates that the patient is returning for follow-up care for this fracture, which has failed to heal properly and is still closed (skin intact).

Apply this code when documenting a patient's visit for ongoing management of a right femoral apophyseal fracture that was initially nondisplaced but has since developed nonunion. This would be used for subsequent encounters after the initial treatment, such as for monitoring, cast changes, or planning for further intervention due to the nonunion.

• Ensure documentation clearly states "right femur" and "apophyseal fracture."
• Confirm the fracture is "nondisplaced" and the encounter is "subsequent" for "nonunion."
• Do not use for initial encounters or for fractures that have healed or are healing normally.