Sltr-haris Type IV physl fx upr end rad, r arm, 7thP

This code describes a Salter-Harris Type IV fracture affecting the growth plate at the upper end of the right radius, which is now healing incorrectly (malunion). This specific fracture type involves both the epiphysis and metaphysis, extending through the physis.

Apply this code when documenting follow-up care for a right radial physeal fracture (Salter-Harris Type IV) that has previously been treated but is now showing signs of malunion. This would include evaluations, imaging, or interventions related to the ongoing management of the improperly healed fracture.

• Ensure documentation clearly specifies "right arm" and "upper end of radius" for anatomical accuracy.
• Confirm that the encounter is for a "subsequent encounter" and that "malunion" is explicitly documented.
• Do not use this code for initial treatment or for nonunion; a different code would be required.