Unsp physl fx low end rad, right arm, subs for fx w malunion

This code signifies a fracture of the growth plate (physis) at the lower end of the right radius, where the specific type of physeal fracture is not documented. The fracture has healed in an abnormal position, resulting in malunion, and the patient is presenting for follow-up care related to this complication.

Use this code for a patient presenting for a subsequent visit for a right distal radial physeal fracture that has healed with malunion, and the initial fracture type was not specified. This applies when the physician is actively managing the malunion, such as discussing corrective surgery or monitoring functional limitations.

• Ensure documentation clearly states "right arm" and "malunion" for the subsequent encounter.
• Do not use this code for initial encounters or for fractures without documented malunion.
• Verify that the specific type of physeal fracture (e.g., Salter-Harris type) was not documented in the initial injury or subsequent notes.