S49.021S
ICD-10-CMSalter-Harris Type II physeal fracture of upper end of humerus, right arm, sequela
This code describes a growth plate fracture, specifically a Salter-Harris Type II, affecting the upper part of the right humerus. This type of fracture involves a break through the physis (growth plate) and extends into the metaphysis, leaving the epiphysis intact. The "sequela" designation indicates that this code is used for complications or conditions arising as a direct result of the original injury, after the acute phase of healing has passed.
This code is appropriate for documenting long-term effects or complications stemming from a previously sustained Salter-Harris Type II physeal fracture of the right proximal humerus. Examples include growth arrest, angular deformity, limb length discrepancy, or chronic pain directly attributable to the old fracture. It should be used when the patient is presenting for treatment or evaluation of these residual issues, not for the initial acute injury.
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