Sltr-haris Type IV physl fx lower end humer, left arm, sqla

This code describes a Salter-Harris Type IV fracture affecting the growth plate at the distal end of the left humerus, specifically indicating a long-term complication or late effect of the initial injury. This type of fracture extends through the epiphysis, physis, and metaphysis, carrying a higher risk of growth disturbance. The "sequela" designation implies that the patient is presenting for treatment of a residual problem directly resulting from the original fracture, not the acute injury itself.

Use this code when documenting conditions such as malunion, nonunion, growth arrest, angular deformity, or chronic pain in the left elbow region that are directly attributable to a previously sustained Salter-Harris Type IV fracture of the distal humerus. This code is appropriate for follow-up visits addressing the long-term consequences after the initial fracture has healed. It should not be used for the initial acute fracture treatment.

• Always assign an additional code to specify the nature of the sequela (e.g., malunion, nonunion, growth disturbance).
• Ensure documentation clearly links the current condition to the previous Salter-Harris Type IV fracture of the left distal humerus.
• Do not use this code for the initial encounter of an acute fracture; acute fractures require codes from the S42 category.