Sltr-haris Type II physl fx upr end unsp tibia, 7thK

This code signifies a Salter-Harris Type II fracture affecting the growth plate at the top of the shin bone, where the fracture line extends through the physis and into the metaphysis. The "subsequent encounter" indicates that the patient is receiving follow-up care for this fracture, and "nonunion" specifies that the bone fragments have failed to heal together after a reasonable period.

Apply this code when documenting ongoing treatment for a previously diagnosed Salter-Harris Type II physeal fracture of the proximal tibia that has not united. This includes scenarios such as surgical intervention for nonunion, casting changes, or physical therapy aimed at addressing the nonunion. It is appropriate for any encounter after the initial treatment where nonunion is the primary focus.

• Ensure documentation clearly states "nonunion" for this specific fracture type and location.
• Verify that the encounter is not the initial treatment for the fracture.
• Confirm the fracture is indeed of the upper tibia and not the lower end or another bone.