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

This code signifies a fracture affecting the growth plate (physis) at the distal end of the right shin bone, excluding Salter-Harris types I, II, III, and IV. The "nonunion" aspect indicates that the fracture has failed to heal completely after the expected healing time, and this encounter is for ongoing management of this complication.

This code is appropriate for follow-up visits where a patient is being treated for a previously diagnosed physeal fracture of the lower right tibia that has not united. This includes situations where surgical intervention for nonunion is being planned or has already occurred, or when conservative management of the nonunion is ongoing.

• Ensure documentation clearly specifies "nonunion" and the right tibia.
• Verify that the encounter is for follow-up care of the fracture, not the initial treatment.
• Confirm the fracture is not a Salter-Harris type I-IV, as those have specific codes.