Unsp physl fx upper end unsp tibia, subs for fx w delay heal

This code signifies a fracture of the growth plate (physis) at the top of the tibia, where the specific location or type of fracture within the physis is not documented. It indicates that the patient is in a later stage of care for this injury, and the fracture is not healing at the expected rate.

Apply this code when a patient presents for follow-up care of an unhealed physeal fracture of the proximal tibia, and the initial fracture details (e.g., Salter-Harris type) were not specified. This is appropriate for subsequent encounters where delayed healing is noted, such as during cast changes, physical therapy, or imaging to assess healing progress.

• Requires documentation of delayed healing for the "G" seventh character.
• Ensure the encounter is not for initial treatment or routine healing.
• If the specific Salter-Harris type is known, a more precise code should be used.