Disp fx of epiphy (separation) (upper) of l femr, 7thR

This code describes a left femur fracture occurring at the epiphyseal growth plate, which has shifted out of alignment. This specific instance is a subsequent encounter for an open fracture (meaning the bone broke through the skin) classified as a severe type (IIIA, IIIB, or IIIC), and the fracture has healed in an abnormal position, known as a malunion.

This code is used when a patient presents for follow-up care or treatment of a previously sustained, severely open, displaced epiphyseal fracture of the upper left femur that has healed incorrectly. This would apply to situations such as surgical correction of the malunion or ongoing management of complications related to the malunion.

• Ensure documentation clearly specifies "left" femur and "upper" epiphysis.
• Verify the encounter is "subsequent" and that the original open fracture was explicitly classified as type IIIA, IIIB, or IIIC.
• Confirm the presence of malunion, indicating the fracture has healed in an unsatisfactory anatomical position.