Oth fracture of T5-T6 vertebra, subs for fx w delay heal

This code indicates a fracture of the T5 or T6 thoracic vertebrae that is not further specified as a compression, burst, or other specific type. The patient is in a subsequent phase of care, and the fracture is exhibiting delayed healing, meaning the bone is taking longer than expected to mend.

This code is appropriate for follow-up encounters where a patient with a previously diagnosed T5 or T6 vertebral fracture is being evaluated for ongoing treatment, and imaging or clinical assessment confirms the healing process is prolonged. It would be used when the initial acute care for the fracture has concluded, but the bone has not yet fully united.

• Requires a seventh character "G" for subsequent encounter with delayed healing.
• Ensure documentation clearly states delayed healing of the T5 or T6 fracture.
• Do not use for initial encounters or for fractures that are healing normally.