Oth physl fx upper end of r tibia, subs for fx w delay heal

This code signifies a fracture affecting the growth plate at the top of the right shin bone, excluding Salter-Harris types I and II. The injury is currently in a phase where the bone healing process is slower than expected.

Apply this code when documenting a patient presenting for follow-up care of a previously diagnosed physeal fracture of the proximal right tibia, and the physician notes or indicates that healing is delayed. This is appropriate for subsequent encounters after the initial treatment.

• Ensure documentation explicitly states "delayed healing" for the right tibia's upper physeal fracture.
• Verify the fracture type is not Salter-Harris I or II, as those have specific codes.
• Confirm this is a subsequent encounter, not the initial treatment for the fracture.