Unsp physeal fx lower end of r tibia, subs for fx w nonunion

This code signifies an unspecified growth plate fracture located at the lower end of the right shin bone. The "nonunion" aspect indicates that the fracture has failed to heal completely after a previous treatment, and the patient is presenting for follow-up care related to this ongoing issue.

Apply this code when a patient is seen for continued management of an unhealed physeal fracture of the distal right tibia. This would typically occur during subsequent visits after initial treatment, where imaging or clinical assessment confirms the lack of bone healing.

• Ensure documentation clearly specifies "nonunion" and the "subsequent encounter" for accurate code assignment.
• Verify the fracture location is the lower end of the right tibia and involves the physis (growth plate).
• Do not use this code for initial encounters or for fractures that are healing normally.