Unsp physl fx upper end unsp femur, subs for fx w delay heal

This code signifies a fracture of the growth plate (physis) at the top of the thigh bone, where the specific location or type of fracture is not documented. It is used when the patient is seen for follow-up care of this fracture, and the healing process is taking longer than expected.

Apply this code when a patient presents for a subsequent visit related to an unspecific physeal fracture of the proximal femur, and the physician explicitly documents delayed healing. This would typically be after initial treatment, such as casting or surgery, and the fracture has not united within the anticipated timeframe.

• Ensure documentation clearly states "delayed healing" for a subsequent encounter.
• Verify that the fracture is indeed of the physis and located at the upper end of the femur.
• If the specific type of physeal fracture (e.g., Salter-Harris type) is known, a more specific code should be used.