Disp fx of epiphy (separation) (upper) of unsp femr, 7thM

This code signifies a nonunion of a displaced fracture involving the upper epiphysis of an unspecified femur, which was initially an open fracture of type I or II. Nonunion indicates that the bone has failed to heal completely after a previous surgical or non-surgical intervention.

This code is appropriate for subsequent encounters when a patient presents with a previously treated open epiphyseal fracture of the proximal femur (type I or II) that has not healed and is now considered a nonunion. This would typically involve ongoing management, such as further surgical intervention or extended conservative treatment for the nonunion.

• Ensure documentation clearly specifies "nonunion" and the initial fracture was an "open fracture type I or II."
• Verify the fracture location is the "upper epiphysis of the femur" and that laterality is unspecified.
• Confirm this is a "subsequent encounter" for the nonunion management, not the initial treatment of the fracture.