Sltr-haris Type II physl fx upr end r tibia, 7thD

This code describes a follow-up visit for a pediatric patient who sustained a Salter-Harris Type II fracture affecting the growth plate at the top of their right shin bone. At this encounter, the fracture is healing as expected without complications.

Apply this code for subsequent encounters where a patient with a previously diagnosed Salter-Harris Type II physeal fracture of the right proximal tibia is undergoing routine follow-up care. This includes visits for cast changes, radiographic assessments confirming satisfactory healing, or physical therapy evaluations during the recovery phase.

• Ensure documentation specifies "subsequent encounter" and "routine healing" for the D seventh character.
• Verify the fracture type (Salter-Harris Type II) and anatomical location (upper end of right tibia).
• Do not use this code if the fracture is experiencing delayed healing, nonunion, or malunion; different seventh characters would apply.