Displ apophyseal fx l femr, 7thM

This code signifies a fracture of the growth plate (apophysis) in the left thigh bone that is no longer in its proper anatomical alignment. It specifically indicates that the initial injury was an open fracture (Type I or II) and that the bone has failed to heal properly in a subsequent encounter.

This code is appropriate for follow-up visits where a patient with a previously treated open apophyseal fracture of the left femur is experiencing nonunion. This would include scenarios such as ongoing pain, instability, or radiographic evidence of persistent fracture line despite adequate healing time.

• Ensure documentation clearly specifies "left femur" and "apophyseal fracture."
• Verify the original injury was an "open fracture type I or II" and that the current encounter is for "nonunion."
• Do not use this code for initial encounters or for closed fractures.