Disp fx of low epiphy (separation) of r femr, 7thM

This code describes a situation where the growth plate at the lower end of the right thigh bone has fractured and the bone fragments are no longer properly aligned. This specific instance refers to a previous open fracture (where the bone broke through the skin) of type I or II, and the bone has failed to heal properly in the subsequent treatment period.

This code is used when a patient presents for ongoing management of a non-healing, displaced fracture of the right distal femoral epiphysis that was initially an open fracture. It indicates that the patient is in a later stage of care, beyond the initial treatment, and the fracture has not united. This would be appropriate for follow-up visits, surgical interventions for nonunion, or evaluation of delayed healing.

• Ensure documentation clearly specifies "nonunion" and the "subsequent encounter" for an open fracture type I or II.
• Verify laterality (right femur) and the specific anatomical site (lower epiphysis).
• Do not use for initial encounters or for fractures that are healing normally.