Nondisp fx of epiphy (separation) (upper) of r femr, 7thC

This code describes a fracture involving the growth plate (epiphysis) at the upper end of the right thigh bone, where the bone fragments remain in their normal anatomical alignment. It specifically indicates an initial encounter for a severe open fracture, meaning the bone has broken through the skin, categorized as type IIIA, IIIB, or IIIC based on the extent of soft tissue damage and contamination.

Use this code for a patient presenting for the first time with an open epiphyseal fracture of the proximal right femur that has not undergone surgical or definitive treatment. This applies when the fracture is documented as nondisplaced and the open wound meets the criteria for Gustilo-Anderson classification type IIIA, IIIB, or IIIC.

• Ensure documentation clearly specifies "nondisplaced" and the "upper" (proximal) epiphysis of the right femur.
• Verify the encounter is "initial" and the open fracture type (IIIA, IIIB, or IIIC) is explicitly stated or clearly inferable from the clinical notes.
• Do not use this code for displaced fractures, subsequent encounters, or open fractures of a lesser severity (Type I or II).