S49.009S
ICD-10-CMUnspecified physeal fracture of upper end of humerus, unspecified arm, sequela
This code signifies a long-term complication or late effect stemming from an unspecific fracture of the growth plate located at the top of the humerus. The original injury's specific nature and the affected arm are not documented. This diagnosis is used when the acute phase of the fracture has passed, but the patient continues to experience issues directly related to the prior injury.
This code is appropriate for documenting a patient presenting with a sequela, such as chronic pain, deformity, limited range of motion, or growth disturbance, that is definitively linked to a previously sustained, but unspecified, physeal fracture of the proximal humerus. It should be used when the original fracture occurred in an unspecified arm and the current encounter addresses the residual effects.
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