Follow-up examination, following treatment of healed fracture

This code signifies a routine follow-up encounter for a patient who has completed treatment for a fracture and the fracture is now fully healed. The purpose of the visit is to assess the long-term outcome, monitor for any residual issues, or provide final clearance.

Use this code for scheduled post-treatment visits where the primary reason for the encounter is to check on a previously treated and now healed fracture. This applies to situations where the patient is no longer actively receiving treatment for the fracture itself, but rather is being evaluated for its successful resolution.

• Do not use this code if the fracture is still actively healing or requires ongoing treatment.
• Always code the original fracture diagnosis (e.g., 813.00) as a secondary diagnosis to provide context.
• Consider adding a procedure code for any imaging or physical therapy performed during the visit.