Sltr-haris Type IV physl fx upr end humer, l arm, 7thD

This code signifies a specific growth plate fracture in the upper part of the left humerus, classified as a Salter-Harris Type IV. This type of fracture involves both the growth plate and a portion of the metaphysis and epiphysis. The "subsequent encounter" indicates that the patient is receiving follow-up care for this fracture, which is now healing routinely without complications.

Apply this code when documenting follow-up visits for a patient with a previously diagnosed Salter-Harris Type IV fracture of the proximal left humerus. This is appropriate when the fracture is progressing as expected through the healing process. Use for routine cast changes, follow-up imaging to assess callus formation, or general monitoring of an uncomplicated healing fracture.

• Ensure documentation clearly specifies "left arm" and "upper end of humerus" to support laterality and anatomical site.
• Verify that the encounter is for routine healing and not for delayed healing, nonunion, or malunion, which would require different subsequent encounter codes.
• Confirm the fracture type is explicitly documented as Salter-Harris Type IV; other Salter-Harris types have distinct codes.