S49.149G
ICD-10-CMSalter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
This code signifies a complex fracture involving both the growth plate and a portion of the metaphysis and epiphysis at the distal end of the humerus. It indicates that the fracture is not healing at the expected rate and the patient is receiving ongoing care for this delayed union. The specific arm affected is not documented.
Apply this code when a patient presents for follow-up care of a previously diagnosed Salter-Harris Type IV fracture of the distal humerus, and the physician explicitly notes delayed healing. This would include scenarios such as cast changes, physical therapy evaluations, or repeat imaging to assess healing progress, where the primary focus is the delayed union.
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