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

This code signifies a fracture of the growth plate (apophysis) in the right femur that has not shifted from its normal anatomical position. The fracture is open, meaning the bone has broken through the skin, and is classified as a severe open fracture (Gustilo-Anderson type IIIA, IIIB, or IIIC). This is the initial visit for treatment of this specific injury.

Use this code for a patient presenting for the first time with a right femoral apophyseal fracture that is confirmed to be nondisplaced and involves a significant open wound exposing the bone. This would typically be documented in emergency department or initial orthopedic consultation notes.

• Confirm the fracture is specifically apophyseal, not diaphyseal or epiphyseal.
• Verify the "nondisplaced" status and the Gustilo-Anderson classification (IIIA, IIIB, or IIIC) for the open fracture.
• Ensure this is the patient's initial encounter for this specific injury; subsequent care would use a different encounter character.