Unsp physl fx lower end of r femur, subs for fx w delay heal

This code signifies an unspecified fracture of the growth plate (physis) at the lower end of the right femur that is not healing as expected. It indicates that the patient is presenting for follow-up care related to this specific fracture, and the healing process is prolonged or complicated.

This code is appropriate for subsequent encounters when a patient with a previously diagnosed physeal fracture of the distal right femur is experiencing delayed union. It would be used when the physician documents that the fracture is not progressing to healing at the expected rate, requiring continued medical management.

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