Nondisp apophyseal fx unsp femr, 7thR

This code describes a previously treated apophyseal fracture of an unspecified femur that was initially an open fracture of type IIIA, IIIB, or IIIC, and has now healed in a misaligned position. The fracture itself is currently nondisplaced, but the bone has united with an abnormal angulation or rotation.

This code is used when a patient presents for follow-up care of a malunited open apophyseal femoral fracture, specifically when the original injury was a severe open fracture (Gustilo-Anderson type IIIA, IIIB, or IIIC). It indicates that the fracture has healed, but with an unsatisfactory anatomical alignment. This would be appropriate for patients undergoing evaluation for corrective osteotomy or other interventions to address the malunion.

• Ensure documentation clearly specifies "malunion" and the original open fracture type (IIIA, IIIB, or IIIC).
• Verify that the encounter is for follow-up care of the healed fracture, not an active treatment of a nonunion or acute fracture.
• Confirm the fracture is apophyseal and the laterality of the femur is not specified in the medical record.