Displ suprcndl fx w/o intrcndl extn low end r femr, 7thM

This code describes a situation where the lower end of the right thigh bone (femur) has a break above the knee joint, but the fracture line does not extend into the joint itself. The bone fragments are out of alignment, and the fracture was initially an open fracture (skin broken) of either type I or II. Importantly, the bone is failing to heal properly (nonunion), and this encounter is for follow-up care after the initial treatment.

Use this code for a patient presenting for ongoing management of a previously treated open supracondylar femoral fracture (type I or II) that is now complicated by nonunion. This would apply to subsequent visits for cast changes, wound care, physical therapy, or surgical planning related to the nonunion. It is crucial that the fracture is specifically of the right femur, displaced, and without intracondylar extension.

• Ensure the encounter is for a subsequent visit, not the initial treatment of the fracture.
• Verify documentation explicitly states "nonunion" and specifies the original open fracture type (I or II).
• Confirm the laterality (right femur) and the absence of intracondylar extension are clearly documented.