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

This code describes a fracture involving the growth plate (physis) at the top of the right shin bone, which is currently healing but has united in an abnormal position. This malunion indicates that the bone fragments have joined together incorrectly, potentially leading to functional impairment or deformity.

This code is used when a patient presents for follow-up care of a previously diagnosed physeal fracture of the upper right tibia, and imaging or clinical assessment confirms that the fracture has healed with a noticeable malunion. It is appropriate for encounters where the malunion is being monitored, evaluated for intervention, or managed conservatively.

• Ensure documentation clearly specifies "malunion" and the "subsequent encounter" status.
• Verify the fracture location is the upper end of the right tibia and involves the physis.
• Distinguish from nonunion, which implies a complete failure of bone healing.