Sltr-haris Type I physeal fx upper end of r tibia, sequela

This code indicates a long-term complication or late effect stemming from a Salter-Harris Type I fracture that occurred at the growth plate (physis) located at the top portion of the right shin bone (tibia). This type of fracture involves a separation of the epiphysis from the metaphysis through the growth plate itself, without bone breakage. The "sequela" designation signifies that the current encounter is for a condition resulting from the original injury, not the acute fracture.

Use this code for encounters addressing residual problems, deformities, or chronic pain directly attributable to a previously healed Salter-Harris Type I physeal fracture of the upper right tibia. This includes situations like growth arrest, limb length discrepancy, angular deformity, or chronic pain in the affected area years after the initial injury. It should not be used for the initial treatment of the acute fracture.

• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated (e.g., M21.621 for limb length discrepancy).
• Ensure documentation clearly links the current condition to the prior Salter-Harris Type I fracture of the upper right tibia.
• Verify laterality (right tibia) and fracture type (Salter-Harris Type I) are explicitly stated in the medical record.