Sltr-haris Type I physeal fx lower end of r tibia, sequela

This code signifies a Salter-Harris Type I fracture affecting the growth plate at the lower end of the right tibia, where the injury has resulted in a long-term complication or residual condition. This type of fracture involves a separation of the epiphysis from the metaphysis through the growth plate itself, without bone involvement. The "sequela" indicates that the acute phase of the fracture has passed, and the current encounter addresses a lasting effect of that injury.

Use this code when documenting a patient presenting with a chronic issue directly attributable to a previously sustained Salter-Harris Type I fracture of the right distal tibia. This could include growth disturbances, angular deformities, limb length discrepancies, or chronic pain at the fracture site that are a direct consequence of the original injury. This code is appropriate for follow-up visits addressing these long-term complications, not for the initial acute injury.

• Always use this code as a secondary diagnosis, with the primary diagnosis describing the specific sequela being treated (e.g., M21.061 for valgus deformity of right tibia).
• Ensure documentation clearly links the current condition to the previous Salter-Harris Type I fracture of the right distal tibia.
• Verify that the encounter is for a sequela and not for the initial treatment or routine follow-up of a healing fracture without complications.