Displ longitud fx r patella, 7thJ

This code signifies a fracture running lengthwise through the right kneecap that has shifted out of its normal alignment. It specifically indicates that the fracture was initially an open fracture of a severe type (IIIA, IIIB, or IIIC) and is now being managed during a subsequent visit due to a slower-than-expected healing process.

Apply this code for follow-up encounters where a patient is receiving ongoing treatment for a previously diagnosed displaced longitudinal fracture of the right patella. This is appropriate when the initial injury was a severe open fracture and the physician documents delayed healing. This code would be used for visits such as cast changes, wound care, or physical therapy related to the delayed healing of this specific fracture.

• Ensure documentation clearly specifies "displaced" and "longitudinal" for the right patella fracture.
• Verify that the original injury was an open fracture classified as type IIIA, IIIB, or IIIC.
• Confirm that the current encounter is for delayed healing, not routine healing or nonunion/malunion.