Oth physl fx upper end rad, r arm, subs for fx w malunion

This code signifies a healing fracture of the proximal radius in the right arm, specifically involving the growth plate (physis), where the bone fragments are not aligning correctly during the repair process. It indicates that the patient is in a follow-up phase of care for this specific type of fracture.

Apply this code for patients presenting for ongoing management of a right upper radial physeal fracture that is healing with evidence of malunion. This is appropriate after the initial treatment phase, during subsequent visits to monitor healing and address the malalignment.

• Ensure documentation specifies "right arm" and "physeal fracture of upper end of radius."
• Verify the encounter is for follow-up care, not initial treatment or a sequela.
• Confirm physician documentation explicitly states "malunion" to support this specific code.