Unsp physl fx upper end of l tibia, subs for fx w routn heal

This code describes a fracture of the growth plate (physis) at the top portion of the left shin bone, where the specific type of physeal fracture is not documented. This particular code is used when the patient is seen for follow-up care during the healing phase, and the healing is progressing as expected without complications.

This code is appropriate for subsequent encounters when a patient with an initially unspecified physeal fracture of the proximal left tibia is receiving routine follow-up care. This includes visits for cast checks, removal of immobilization, or monitoring of healing progress in the absence of any complications or delayed healing.

• Ensure documentation specifies "unspecified" physeal fracture and the left tibia.
• The "D" seventh character indicates a subsequent encounter for routine healing; do not use for initial treatment or complicated healing.
• Confirm that there are no documented complications (e.g., malunion, nonunion, delayed healing) that would necessitate a different seventh character.