Oth physl fx upper end of l femur, subs for fx w delay heal

This code describes a fracture involving the growth plate (physis) at the top of the left thigh bone, excluding Salter-Harris types I and II. It specifically indicates that the patient is in a subsequent phase of care for this fracture, and the healing process is taking longer than expected.

Use this code when documenting follow-up care for a pediatric or adolescent patient with a left upper femoral physeal fracture (not Salter-Harris I or II) that is exhibiting delayed union. This applies to encounters where the physician is monitoring the fracture's progress and addressing the prolonged healing.

• Ensure the documentation clearly specifies "other" physeal fracture and not a Salter-Harris type I or II.
• Verify laterality (left femur) is explicitly stated in the medical record.
• Confirm that the encounter is for subsequent care and that delayed healing is noted by the provider.