Displaced apophyseal fx r femur, init for opn fx type 3A/B/C

This code signifies a fracture occurring at the apophysis (growth plate) of the right femur, where the bone fragments are no longer in their normal alignment. It specifically indicates an open fracture, meaning the bone has broken through the skin, and is classified as a severe open injury (Type IIIA, IIIB, or IIIC) according to the Gustilo-Anderson classification.

This code is appropriate for the initial treatment encounter of a patient presenting with a displaced right femoral apophyseal fracture that has broken through the skin and is categorized as a high-severity open fracture. This would include scenarios such as a traumatic injury where the bone is visibly exposed or there is significant soft tissue damage.

• Ensure documentation clearly specifies "displaced" and the "right" femur.
• Verify the Gustilo-Anderson classification (Type IIIA, IIIB, or IIIC) for open fractures is explicitly stated by the physician.
• This code is only for the initial encounter; subsequent encounters will require a different seventh character.