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

This code indicates a fracture of the growth plate at the lower end of the right shin bone (tibia) that is not otherwise specified. It specifies that this is not the initial treatment encounter, and the fracture is experiencing delayed healing, meaning it is taking longer than expected to mend.

Use this code when a patient presents for follow-up care of a previously diagnosed physeal fracture of the distal right tibia, and the physician documents that the fracture union is not progressing at the anticipated rate. This would apply to subsequent visits where delayed healing is the primary concern for the right lower tibia's growth plate fracture.

• Always ensure documentation clearly specifies "right tibia" and "lower end" for laterality and location.
• Verify that the encounter is indeed "subsequent" and that "delayed healing" is explicitly stated or clearly implied by the physician's notes on fracture progress.
• Do not use this code for initial encounters or for fractures that are healing normally.