2-part nondisp fx of surg nk of unsp humer, 7thG

This code signifies a fracture of the surgical neck of the humerus that has not shifted from its original position and involves two distinct bone fragments. The patient is in a follow-up phase of care, and the fracture is not healing at the expected rate, indicating a delay in the bone union process.

Use this code for patients presenting for follow-up care of a previously diagnosed, two-part, nondisplaced surgical neck humerus fracture where the provider documents delayed healing. This applies when the initial treatment has been rendered, and the focus is now on managing the prolonged healing process.

• Ensure documentation explicitly states "delayed healing" for this specific fracture site.
• Verify the fracture is described as "nondisplaced" and "2-part" to align with the code's specificity.
• Confirm this is a "subsequent encounter" and not an initial treatment encounter.