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

This code signifies a Salter-Harris Type III fracture affecting the growth plate at the upper end of the right tibia. This specific type of physeal fracture involves a break through the physis and epiphysis, but not the metaphysis. The "D" seventh character indicates that the patient is in the healing phase and receiving routine follow-up care for the fracture.

Use this code for follow-up encounters where a patient is receiving routine care for a previously diagnosed Salter-Harris Type III physeal fracture of the upper right tibia. This applies when the fracture is healing as expected without complications or delayed healing. It would be appropriate for cast changes, routine X-ray checks, or physical therapy during the normal healing period.

• Ensure the documentation clearly specifies a Salter-Harris Type III fracture and the right tibia.
• Verify that the encounter is for routine follow-up during the healing phase; do not use for initial treatment or active treatment of complications.
• Confirm the laterality (right) is explicitly stated in the medical record.