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

This code signifies a fracture occurring through the growth plate (physis) at the top portion of an unknown femur, which is currently experiencing delayed healing. The patient is in a subsequent phase of care for this injury, indicating they are past the initial treatment.

Apply this code when documentation specifies a physeal fracture of the proximal femur, without laterality specified, and the patient is being seen for ongoing management due to the fracture not healing at the expected rate. This would be used after the initial encounter for the fracture.

• Ensure the documentation explicitly states "delayed healing" for a subsequent encounter.
• Verify that the fracture location is the upper end (proximal) of the femur and involves the physis.
• Do not use this code if laterality (left or right) is specified in the medical record.