Displaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

• birth trauma (P10-P15)
• obstetric trauma (O70-O71)

code to identify any retained foreign body, if applicable (Z18.-)

• Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
• The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

• burns and corrosions (T20-T32)
• frostbite (T33-T34)
• snake bite (T63.0-)
• venomous insect bite or sting (T63.4-)

traumatic amputation of hip and thigh (S78.-)

• fracture of lower leg and ankle (S82.-)
• fracture of foot (S92.-)
• periprosthetic fracture of prosthetic implant of hip (M97.0-)

• A fracture not indicated as displaced or nondisplaced should be coded to displaced
• A fracture not indicated as open or closed should be coded to closed
• The open fracture designations are based on the Gustilo open fracture classification

The appropriate 7th character is to be added to all codes from category S72

• physeal fracture of lower end of femur (S79.1-)
• physeal fracture of upper end of femur (S79.0-)

Transepiphyseal fracture of femur

• capital femoral epiphyseal fracture (pediatric) of femur (S79.01-)
• Salter-Harris Type I physeal fracture of upper end of femur (S79.01-)