Oth physeal fx upper end of l tibia, subs for fx w malunion

This code indicates a fracture of the growth plate (physis) at the top portion of the left shin bone, excluding Salter-Harris Type I and II fractures. The fracture has healed improperly, resulting in a malunion, and the patient is presenting for follow-up care or treatment related to this complication.

Use this code when documenting a patient's visit for ongoing management of a malunited physeal fracture of the proximal left tibia, where the initial injury was not a Salter-Harris Type I or II. This applies to subsequent encounters after the initial treatment, when the malunion is being addressed.

• Ensure documentation clearly specifies "left tibia" and "upper end" to support laterality and location.
• Confirm the fracture type is "other physeal" (e.g., Salter-Harris Type III, IV, V, or unclassified physeal) and not a Salter-Harris Type I or II.
• Verify the encounter is for a "subsequent" visit addressing the "malunion" complication, not initial treatment or routine follow-up for a healing fracture.