Oth fx shaft of unsp humerus, subs for fx w delay heal

This code signifies a fracture of the main body (shaft) of the humerus, where the specific side (left or right) is not documented. It is used when the patient is presenting for follow-up care of this fracture, and the healing process is taking longer than expected. This indicates a complication in the bone repair.

Apply this code for patients returning for an office visit, hospital outpatient encounter, or other follow-up care related to a humeral shaft fracture that is not healing at the anticipated rate. This includes situations where imaging shows persistent fracture lines or callus formation is insufficient after the expected healing period. It is appropriate when the initial treatment has already been rendered.

• Ensure documentation clearly states "delayed healing" or similar terminology for the fracture.
• This code is for subsequent encounters only; do not use for the initial treatment of the fracture.
• Confirm the fracture location is specifically the shaft of the humerus and not the proximal or distal ends.