Oth physeal fx lower end of r fibula, subs for fx w malunion

This code indicates a fracture of the growth plate at the lower end of the right fibula, which is currently healing but has united in an anatomically incorrect position. This malunion occurred after the initial treatment for the fracture.

Use this code for follow-up encounters where a patient is being treated for a right distal fibular physeal fracture that has healed with malunion. This applies when the malunion itself is the focus of the current encounter, such as for evaluation, physical therapy, or planning for corrective surgery.

• Ensure documentation clearly specifies "right fibula" and "lower end" (distal).
• The "P" seventh character signifies a subsequent encounter for a fracture with malunion.
• Confirm the fracture is physeal (growth plate) and not a metaphyseal or epiphyseal fracture.