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

This code signifies a Salter-Harris Type I fracture that occurred at the growth plate (physis) located at the top portion of the left tibia, and the patient is now presenting for treatment of a long-term complication or residual effect of that original injury. This type of fracture involves a separation through the physis without involvement of the metaphysis or epiphysis.

Use this code when documenting a patient encounter for a sequela (e.g., growth disturbance, angular deformity, chronic pain, nonunion) directly resulting from a previously sustained Salter-Harris Type I physeal fracture of the proximal left tibia. This code is appropriate when the initial acute injury has healed, but its lasting effects are being addressed.

• Always assign an additional code to specify the nature of the sequela (e.g., M21.062 for valgus deformity, M96.9 for postprocedural musculoskeletal disorder).
• Do not use this code for the initial acute fracture; a different code from the S82.1- series would be appropriate for the acute injury.
• Ensure documentation clearly links the current condition to the prior Salter-Harris Type I fracture of the left proximal tibia.