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

This code describes a specific type of growth plate fracture in the upper part of the left shin bone, where the fracture extends through both the growth plate and a portion of the bone above and below it. The "subsequent encounter" indicates that this is not the initial treatment for the fracture, and "malunion" signifies that the bone has healed in an incorrect or deformed position.

Use this code when documenting follow-up care for a patient who previously sustained a Salter-Harris Type IV fracture of the proximal left tibia. This is appropriate when the physician is addressing complications related to the fracture healing improperly, such as pain, functional limitations, or deformity. This code would be used for subsequent visits after the initial treatment, when malunion has been identified.

• Ensure documentation clearly specifies "left" tibia and "upper end" to support laterality and anatomical site.
• Verify that the encounter is indeed "subsequent" and that "malunion" is explicitly documented by the provider.
• Do not use this code for initial fracture treatment or for nonunion, which is a separate complication.