Sltr-haris Type IV physl fx upr end humer, unsp arm, 7thG

This code signifies a specific type of growth plate fracture (Salter-Harris Type IV) affecting the upper part of the humerus (upper arm bone) in a pediatric patient. It indicates that the fracture is not healing as expected and the patient is being seen for follow-up care related to this delayed union. The "unspecified arm" component means the laterality (left or right) was not documented.

Use this code for subsequent encounters where a pediatric patient with a previously diagnosed Salter-Harris Type IV physeal fracture of the proximal humerus is presenting for ongoing management due to delayed healing. This would include follow-up appointments for cast changes, imaging to assess healing progress, or discussions about further interventions for the non-uniting fracture.

• Ensure documentation clearly specifies "delayed healing" for the subsequent encounter.
• Verify that the fracture is indeed a Salter-Harris Type IV and located at the upper end of the humerus.
• If laterality (left or right arm) is documented, choose the more specific code.