Oth physl fx upper end of r femur, subs for fx w routn heal

This code describes a fracture involving the growth plate (physis) at the top portion of the right thigh bone, excluding Salter-Harris types I and II. It specifically indicates that the patient is in a follow-up phase where the fracture is healing as expected without complications.

Use this code for follow-up encounters of a patient with a documented "other" physeal fracture of the upper right femur. This applies when the physician assesses routine healing, such as during cast changes, follow-up X-rays showing callus formation, or routine post-operative checks for a fracture that is progressing normally.

• Ensure the documentation specifies "other" physeal fracture, differentiating it from Salter-Harris types I and II.
• Confirm the encounter is for subsequent care and that the physician notes routine healing.
• Always code the initial encounter for the fracture with the appropriate initial encounter seventh character (A or B) first.