Oth physl fx upper end of unsp femur, subs for fx w malunion

This code signifies a physeal fracture of the upper end of the femur, not otherwise specified, that is currently in a state of malunion. It indicates that the fracture has healed in an anatomically incorrect position, and this is a subsequent encounter for the ongoing management of this specific issue.

Apply this code for patients presenting with complications from a previously treated physeal femur fracture where imaging confirms malunion. This would be used during follow-up visits, physical therapy sessions, or when planning further interventions related to the malunion.

• Ensure documentation clearly states "malunion" and specifies the upper end of the femur.
• Verify this is a subsequent encounter for the fracture, not an initial treatment.
• Confirm the fracture is physeal; if not, a different fracture code may be more appropriate.