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

This code signifies a fracture affecting the growth plate (physis) at the top portion of the right thigh bone, excluding Salter-Harris types I and II. The patient is in a follow-up phase of treatment, and the fracture is not healing at the expected rate.

Apply this code when documenting a patient's visit for ongoing management of a right upper femoral physeal fracture that is exhibiting delayed union. This would typically be used after initial treatment, during subsequent clinic visits or hospital admissions focused on addressing the slow healing process.

• Ensure documentation clearly states "delayed healing" for the fracture.
• Verify the fracture location is specifically the "upper end of the right femur" and involves the physis.
• Confirm this is a "subsequent encounter" for the fracture, not the initial treatment.