Sltr-haris Type IV physl fx upper end radius, left arm, sqla

This code describes a chronic or late effect of a specific growth plate fracture in the upper part of the left radius. A Salter-Harris Type IV fracture involves both the epiphysis and metaphysis, extending through the physis, indicating a more complex injury to the growth plate. The "sequela" designation signifies that this code is used for conditions arising as a direct consequence of the original fracture, long after the initial injury has healed.

This code is appropriate for documenting long-term complications or residual conditions stemming from a Salter-Harris Type IV physeal fracture of the upper left radius. Examples include growth disturbances (e.g., limb length discrepancy, angular deformity), chronic pain, nonunion, malunion, or degenerative changes that are directly attributable to the past fracture. It should be used when the patient is presenting for treatment of these persistent issues, not for the initial acute injury.

• Always assign an external cause code (V00-Y99) in conjunction with this code to describe the circumstances of the original injury, if known.
• Ensure documentation clearly links the current condition to the previous Salter-Harris Type IV fracture of the left radial upper end.
• Do not use this code for the initial acute fracture; instead, use the appropriate acute Salter-Harris Type IV fracture code for the left radius.