Oth physeal fx lower end of r femur, subs for fx w nonunion

This code signifies a fracture of the growth plate at the lower end of the right thigh bone, which has failed to heal properly after initial treatment. The patient is presenting for follow-up care related to this persistent nonunion.

Apply this code when a patient with a previously diagnosed physeal fracture of the distal right femur is seen for ongoing management of a documented nonunion. This includes visits for evaluation, treatment planning, or interventions aimed at promoting healing of the ununited fracture.

• Ensure documentation clearly specifies "nonunion" and "subsequent encounter" for the right distal femoral physeal fracture.
• Verify the fracture is indeed physeal (growth plate) and not an epiphyseal or metaphyseal fracture.
• Always sequence this code after any codes for complications or specific treatments being rendered during the encounter.