Nondisp fx of low epiphy (separation) of l femr, 7thQ

This code describes a fracture of the growth plate at the bottom of the left thigh bone that has not shifted out of alignment. It specifically indicates that the patient is in a later stage of care for a fracture that was initially open (meaning the skin was broken) and is now healing incorrectly, resulting in a malunion.

This code is appropriate for follow-up encounters when a patient is being treated for complications of a previously sustained open epiphyseal fracture of the distal left femur, specifically when malunion is identified. It should be used when the fracture was initially classified as an open fracture type I or II and the patient is receiving ongoing management for the improper healing.

• Ensure documentation clearly specifies "left femur" and "lower epiphysis" to differentiate from other femoral fracture sites.
• Verify the initial fracture was indeed an open fracture type I or II, as this impacts the "Q" subsequent encounter character.
• Confirm the presence of malunion, indicating abnormal healing, as opposed to nonunion or routine healing.