Maxillary fracture, right side, 7thG

This code signifies a fracture of the right maxilla that is currently undergoing treatment, but the healing process is slower than expected. It indicates that the patient has previously received initial care for this specific fracture and is now in a follow-up phase where delayed union is a concern.

Apply this code when documentation clearly states a right maxillary fracture with delayed healing, and the patient is presenting for ongoing management of this condition. This is appropriate for subsequent encounters after the initial treatment phase. Supporting documentation should include notes on the fracture location, the right side, and explicit mention of delayed healing or non-progression of healing.

• Ensure documentation specifies "right side" of the maxilla; otherwise, an unspecified laterality code may be more appropriate.
• Confirm the encounter is "subsequent" and not the initial treatment for the fracture.
• Look for explicit physician documentation of "delayed healing" or similar terminology to justify this specific seventh character.