Sltr-haris Type IV physl fx upr end r tibia, 7thP

This code signifies a specific growth plate fracture at the top of the right shin bone, where the fracture line extends through the growth plate, metaphysis, and epiphysis. It indicates that the patient is in a later stage of care for this injury, and the bone is healing in an undesirable, misaligned position.

Apply this code when documenting follow-up care for a patient who previously sustained a Salter-Harris Type IV fracture of the proximal right tibia, and imaging or clinical assessment confirms that the fracture fragments have healed or are healing with significant angulation or rotation. This is appropriate for encounters addressing the complications of malunion.

• Ensure documentation clearly specifies "right tibia" and "upper end" to support laterality and location.
• Verify that the encounter is for a subsequent visit and that malunion is explicitly noted.
• Distinguish from nonunion (failure to heal) or routine follow-up without malunion.