Displ longitud fx r patella, 7thQ

This code describes a right kneecap fracture that runs lengthwise, is no longer in its proper alignment, and was an open fracture (meaning the skin was broken) of either Type I or II. The fracture has healed, but in an imperfect position, resulting in malunion.

This code is used for follow-up encounters when a patient with a previously diagnosed displaced longitudinal open fracture (Type I or II) of the right patella presents with evidence of malunion. It indicates that the fracture has healed, but with an unsatisfactory alignment.

• Ensure documentation clearly specifies "right" patella and "longitudinal" fracture type.
• Confirm the original injury was an "open fracture type I or II" and that "malunion" is explicitly documented.
• This "Q" seventh character indicates a subsequent encounter for a fracture with malunion, not the initial treatment.