S49.021D
ICD-10-CMSalter-Harris Type II physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healing
This code signifies a Salter-Harris Type II fracture affecting the growth plate at the top of the right humerus. This specific type of physeal fracture involves a break through the growth plate and extending into the metaphysis, but not into the epiphysis. The "D" suffix indicates that the patient is in the healing phase and receiving routine follow-up care for this fracture.
Use this code for a patient presenting for a follow-up visit for a previously diagnosed Salter-Harris Type II fracture of the proximal right humerus, where the fracture is healing as expected without complications. This would apply to routine cast checks, physical therapy evaluations during the healing process, or follow-up imaging to assess callus formation.
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