Sltr-haris Type IV physl fx upr end l tibia, 7thK

This code describes a specific type of growth plate fracture in the upper part of the left shin bone (tibia) that has failed to heal properly. A Salter-Harris Type IV fracture involves both the growth plate and portions of the metaphysis and epiphysis, indicating a more complex injury. "Nonunion" signifies that the bone fragments have not united after a typical healing period.

This code is appropriate for documenting follow-up care for a patient previously diagnosed with this specific fracture, where imaging or clinical assessment confirms that the fracture has not healed. This would include scenarios such as ongoing treatment for the nonunion, surgical planning for corrective procedures, or monitoring the progression of the nonunion.

• Ensure documentation clearly specifies "nonunion" for this subsequent encounter.
• Verify the laterality (left tibia) and the specific Salter-Harris type (Type IV).
• Do not use this code for initial encounters or for fractures that are still in the process of healing (malunion or routine healing).