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

This code signifies a Salter-Harris Type II fracture affecting the growth plate at the top of the left shin bone, specifically indicating a long-term complication or residual effect of the original injury. This type of fracture involves a break through the physis and into the metaphysis, but spares the epiphysis. The "sequela" designation means the patient is presenting for treatment of a condition that is a direct consequence of this past fracture.

Use this code when documenting and billing for the treatment of a chronic issue, deformity, or functional impairment directly resulting from a previously sustained Salter-Harris Type II physeal fracture of the upper end of the left tibia. Examples include growth arrest, angular deformity, leg length discrepancy, or chronic pain attributable to the old fracture site. This code is appropriate when the initial acute fracture has healed, but its lasting effects are being addressed.

• Always use this code as a secondary diagnosis, with the primary diagnosis describing the specific sequela being treated (e.g., M21.062 for valgus deformity of left tibia).
• Ensure documentation clearly links the current condition to the past Salter-Harris Type II fracture of the left proximal tibia.
• Do not use this code for the initial acute treatment of the fracture; specific acute fracture codes (e.g., S89.022A-P) would be used for that scenario.