Displ osteochon fx r patella, init for opn fx type 3A/B/C

This code signifies a fracture of the right kneecap that involves both bone and cartilage, where the fractured fragments are not in their normal anatomical alignment. It specifically indicates an open fracture, meaning the skin and soft tissues are significantly damaged, exposing the bone, and is categorized as a severe type (IIIA, IIIB, or IIIC) according to the Gustilo-Anderson classification. This is the initial encounter for treatment of this injury.

Use this code for a patient presenting for the first time with a severely open, displaced osteochondral fracture of the right patella. This applies when the injury involves extensive soft tissue damage, contamination, or significant periosteal stripping, consistent with Gustilo-Anderson types IIIA, IIIB, or IIIC. This code is appropriate for the initial surgical repair or management of this specific fracture.

• Ensure documentation clearly specifies "displaced" and "osteochondral" for the right patella.
• Verify the Gustilo-Anderson classification (IIIA, IIIB, or IIIC) is explicitly stated or clearly inferable from the physician's notes regarding the open nature of the fracture.
• Confirm this is the initial encounter for treatment of this specific injury; subsequent care would use a different encounter character.