Oth physeal fx lower end of l tibia, subs for fx w malunion

This code indicates a fracture of the growth plate at the lower end of the left shin bone, specifically an injury other than a Salter-Harris Type I or II. The fracture has healed in an anatomically incorrect position (malunion), and the patient is presenting for follow-up care related to this ongoing issue.

Apply this code when documenting a patient visit for management of a previously sustained, non-Salter-Harris Type I or II physeal fracture of the distal left tibia that has resulted in malunion. This would include scenarios where the patient is being evaluated for pain, functional limitations, or planning for corrective surgery due to the malunion.

• Ensure documentation clearly specifies "malunion" and not "nonunion" or "routine healing."
• Verify the fracture location is the lower end of the left tibia and involves the physis.
• Confirm this is a "subsequent encounter" for the fracture, indicating ongoing care after the initial treatment.