Unsp physeal fx upper end of l tibia, subs for fx w nonunion

This code indicates a fracture of the growth plate at the top of the left shin bone, where the specific type of physeal fracture is not documented. It signifies that the fracture has not healed as expected and the patient is presenting for follow-up care related to this nonunion.

This code is appropriate for subsequent encounters when a patient is being treated for a previously diagnosed, unspecified physeal fracture of the proximal left tibia that has failed to unite. This includes visits for ongoing management, evaluation of nonunion, or planning for further intervention.

• Requires a seventh character of 'K' to denote subsequent encounter for fracture with nonunion.
• Ensure documentation clearly states the fracture is of the physis (growth plate) and is located at the upper end of the left tibia.
• Confirm that the medical record explicitly indicates the fracture has not healed (nonunion).