Sltr-haris Type IV physl fx upper end humer, unsp arm, sqla

This code signifies a chronic or late effect of a Salter-Harris Type IV fracture affecting the growth plate at the top of the humerus. This type of fracture extends through the epiphysis, physis, and metaphysis, and "sequela" indicates that the patient is presenting for treatment of a complication or residual condition directly resulting from the original injury.

Use this code when documenting the long-term consequences or complications of a previously sustained Salter-Harris Type IV physeal fracture of the proximal humerus. This includes conditions like growth arrest, angular deformity, nonunion, or chronic pain directly attributable to the old fracture, when the initial acute injury has healed.

• Always use a seventh character of "S" for sequela when the patient is being treated for a complication or residual effect of the original injury.
• Do not use this code for the initial encounter or subsequent routine follow-up care of the acute fracture; those require different seventh characters.
• Specify laterality (right or left) if known; "unspecified arm" should only be used when laterality cannot be determined from the medical record.