Unsp physl fx lower end of l tibia, subs for fx w delay heal

This code signifies a fracture of the growth plate (physis) at the lower end of the left shin bone, where the specific type of physeal fracture is not documented. The patient is in a later stage of care, and the fracture is not healing at the expected rate.

This code is appropriate for follow-up encounters for a left distal tibial physeal fracture when the initial injury details are vague, and the physician notes indicate delayed union or non-progression of healing. It would be used when the patient is still undergoing treatment for the fracture, such as cast changes, physical therapy, or monitoring.

• Ensure documentation clearly states "delayed healing" or similar terminology for the fracture.
• Verify the encounter is subsequent to the initial treatment and not for the initial injury.
• Confirm the fracture location is the lower end of the left tibia and the fracture type is physeal but unspecified.