Sternal manubrial dissociation, subs for fx w delay heal

This code signifies a specific type of sternal fracture where the manubrium, the upper part of the sternum, has separated from the rest of the sternum. The "subsequent encounter" indicates that the patient is receiving follow-up care for this injury, and the "delayed healing" specifies that the fracture is not mending within the expected timeframe.

This code is appropriate for documentation of ongoing treatment for a patient previously diagnosed with a manubrial dissociation. It should be used when the physician notes that the fracture healing process is slower than anticipated, requiring continued medical management, such as repeat imaging, pain management, or consideration of further intervention.

• Ensure the medical record clearly documents a prior diagnosis of sternal manubrial dissociation.
• Verify the physician's documentation explicitly states "delayed healing" or similar terminology indicating a slower-than-normal healing process.
• Do not use this code for initial encounters or for fractures healing normally.