Oth fracture of unsp lesser toe(s), subs for fx w delay heal

This code signifies a fracture of any lesser toe (toes two through five) where the specific toe is not documented, and the patient is presenting for follow-up care due to the fracture not healing at the expected rate. It indicates that the initial injury occurred previously and the current encounter addresses the ongoing healing process, which is complicated by a delay.

Use this code for a patient returning for a clinic visit or imaging to assess the progress of a previously diagnosed lesser toe fracture that is demonstrating delayed union. This applies when the medical record does not specify which particular lesser toe is affected. It is appropriate for encounters where the focus is on managing the delayed healing, such as cast changes, physical therapy evaluations, or repeat X-rays.

• Ensure documentation clearly states "delayed healing" or similar terminology for the fracture.
• Verify that the encounter is for follow-up care of the fracture, not the initial treatment.
• Confirm that the specific lesser toe (e.g., second, third) is not identified in the medical record; otherwise, a more specific code should be used.