Displ apophyseal fx l femr, 7thN

This code signifies a fracture occurring at the apophysis (a bony outgrowth or projection) of the left femur, which is currently displaced. The fracture is an open type IIIA, IIIB, or IIIC, indicating significant soft tissue damage and contamination, and has failed to heal properly, resulting in a nonunion. This specific code is used when the patient is receiving follow-up care for this unhealed open fracture.

Apply this code for patients presenting for ongoing treatment of a previously diagnosed displaced apophyseal fracture of the left femur that was an open type IIIA, IIIB, or IIIC and has developed a nonunion. This includes scenarios such as follow-up appointments for surgical intervention, cast changes, or monitoring of the nonunion. It is appropriate when the initial acute care for the fracture has concluded, and the focus is on managing the persistent nonunion.

• Ensure documentation clearly specifies "left femur" and "apophyseal" to differentiate from other femoral fracture types and locations.
• Verify the fracture was initially classified as an open type IIIA, IIIB, or IIIC and that nonunion is explicitly documented.
• Confirm this is a "subsequent encounter" for ongoing care, not the initial treatment of the acute fracture or a sequela.