Sltr-haris Type I physl fx upr end humer, r arm, 7thP

This code signifies a Salter-Harris Type I fracture affecting the growth plate at the top of the right humerus, which is currently in a stage of malunion. Malunion indicates that the fracture has healed, but in an unsatisfactory position or alignment. This specific type of fracture involves a separation of the epiphysis from the metaphysis through the growth plate itself.

Use this code when documenting follow-up care for a pediatric patient who previously sustained a Salter-Harris Type I physeal fracture of the right proximal humerus, and imaging or clinical assessment confirms that the fracture has healed with an abnormal alignment. This code is appropriate for subsequent encounters where the focus is on managing the consequences or complications of this malunion.

• Ensure documentation clearly specifies "malunion" and not "nonunion" or "delayed union."
• Verify the laterality (right arm) and the specific bone (humerus) are accurately documented.
• Confirm this is a "subsequent encounter" for the fracture, indicating ongoing care after the initial treatment phase.