Nondisp apophyseal fx unsp femr, subs for clos fx w malunion

This code signifies a fracture of the growth plate region (apophysis) of the femur that has not shifted from its normal position. At the time of this encounter, the fracture is closed (skin intact) but has healed improperly, resulting in a malunion.

This code is appropriate for follow-up visits where a previously diagnosed nondisplaced apophyseal femoral fracture is being evaluated for healing complications, specifically when imaging or clinical assessment confirms a malunion. It indicates ongoing management of a fracture that has healed in an anatomically incorrect position.

• Ensure documentation clearly states "malunion" and specifies the fracture as "apophyseal" and "nondisplaced."
• Verify this is a subsequent encounter, not the initial treatment for the fracture.
• Confirm the fracture is closed; open fractures would require a different seventh character.