Nondisp fx of middle phalanx of right lesser toe(s), 7thG

This code signifies a follow-up encounter for a fracture of the middle phalanx of one of the right lesser toes (toes 2-5) that was initially nondisplaced. The key aspect of this encounter is that the healing process is not progressing as expected, indicating a delayed union of the bone fragments.

This code is appropriate when a patient presents for ongoing management of a previously diagnosed nondisplaced right lesser toe middle phalanx fracture, and the physician documents that the fracture is not healing within the anticipated timeframe. This would typically involve an assessment of healing progress, such as through imaging or physical examination, revealing a delayed union.

• Ensure documentation explicitly states "delayed healing" or "delayed union" for the fracture.
• Verify the fracture is of the middle phalanx of a right lesser toe (toes 2-5), not the great toe.
• Confirm the fracture was initially "nondisplaced" and this is a "subsequent encounter."