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

This code describes a situation where a patient is receiving follow-up care for a lower thigh bone fracture that occurred at the growth plate, but the bone fragments are still aligned. The original injury was an open fracture, meaning the skin was broken, and it was classified as either Type I or Type II. The current encounter addresses a complication where the bone is healing in an imperfect or misaligned way.

This code is appropriate for subsequent encounters when a patient with a previously diagnosed nondisplaced Salter-Harris fracture of the distal femur, initially an open Type I or II fracture, is presenting for management of malunion. This includes visits for assessment, treatment planning, or ongoing care related to the bone healing incorrectly.

• Ensure documentation specifies "subsequent encounter" and "malunion" for this specific fracture type.
• Verify the original fracture was an open Type I or II and involved the lower epiphysis of the femur.
• Do not use for initial encounters or for nonunion, which is coded differently.