Oth physeal fx upper end of r tibia, subs for fx w nonunion

This code signifies a growth plate fracture at the top portion of the right shin bone that is not healing properly after initial treatment. It indicates that the patient is returning for follow-up care related to this specific fracture complication. The "other" designation suggests the fracture pattern doesn't fit more specific physeal fracture types.

Apply this code for a patient presenting for ongoing management of a previously diagnosed physeal fracture of the proximal right tibia that has failed to unite. This would include scenarios such as clinic visits for cast changes, imaging to assess nonunion, or discussions regarding further surgical intervention for the nonunion.

• Ensure the documentation clearly states "nonunion" and specifies the "subsequent encounter" for this particular fracture.
• Verify the laterality (right) and the specific bone (tibia) and location (upper end/proximal) are accurately documented.
• Do not use this code for initial treatment or for a fracture that is healing normally.