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

This code describes a chronic or late effect of a Salter-Harris Type IV fracture affecting the growth plate at the upper end of the radius, where the specific arm (left or right) is not documented. This type of fracture involves both the epiphysis and metaphysis, extending through the physis, and carries a higher risk of growth disturbance. The "sequela" designation indicates that this code is used for conditions resulting from the initial injury, such as growth arrest, angular deformity, or chronic pain, rather than the acute fracture itself.

Use this code when documenting a long-term complication or residual condition directly attributable to a previously sustained Salter-Harris Type IV fracture of the proximal radius, and the affected arm is not specified. This applies to follow-up encounters where the patient presents with issues stemming from the healed fracture, such as limb length discrepancy, malunion, or persistent functional impairment. It is appropriate when the acute phase of the fracture has passed and the focus of care is on the lasting effects.

• Always ensure the documentation clearly links the current condition to a prior Salter-Harris Type IV fracture of the proximal radius.
• This code requires a seventh character "S" for sequela, indicating a late effect. Do not use for acute fracture treatment.
• If the specific arm (left or right) is known, a more specific code from the S59.14- category should be used.