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

This code signifies a Salter-Harris Type IV fracture affecting the growth plate at the top of the humerus, where the fracture line extends through the epiphysis, physis, and metaphysis. The "subsequent encounter for fracture with nonunion" indicates that the fracture has failed to heal properly after initial treatment, and the patient is receiving ongoing care for this complication.

Use this code for follow-up visits or admissions when a patient is being treated for a previously diagnosed Salter-Harris Type IV fracture of the proximal humerus that has not united. This includes scenarios where surgical intervention for nonunion is being planned or performed, or when conservative management for nonunion is ongoing.

• Ensure documentation clearly states "nonunion" as a complication of the fracture.
• Verify the specific Salter-Harris type (Type IV) and anatomical location (upper end of humerus).
• This code is for subsequent encounters; an initial encounter code would be used for the initial diagnosis.