Displ longitud fx right patella, init for opn fx type 3A/B/C

This code signifies a fracture of the right kneecap that runs lengthwise (longitudinal) and is no longer in its normal anatomical alignment (displaced). The fracture is an open type, meaning the bone has broken through the skin, and is classified as a severe open fracture (Gustilo-Anderson type IIIA, IIIB, or IIIC).

This code is used for the initial treatment of a patient presenting with a displaced longitudinal fracture of the right patella where there is an associated open wound exposing the fracture site, indicating a high risk of infection and significant soft tissue damage. It applies to the first encounter for this specific injury.

• Always verify the laterality (right) and the specific fracture type (longitudinal, displaced) from the physician's documentation.
• Ensure the documentation clearly specifies an "open fracture" and, if possible, the Gustilo-Anderson classification (IIIA, IIIB, or IIIC) to support this code.
• This "C" encounter code is only for the initial treatment of the fracture; subsequent care would use different encounter codes.