Sltr-haris Type II physl fx lower end of unsp tibia, sequela

This code identifies a Salter-Harris Type II fracture affecting the growth plate at the distal end of the tibia, where the fracture line extends through the physis and then exits through the metaphysis. The "sequela" designation indicates that this code is used for conditions or complications arising as a direct result of this past injury, after the acute phase of the fracture has resolved. The unspecified laterality means the exact leg (left or right) is not documented.

Use this code when documenting long-term complications or residual effects stemming from a previously sustained Salter-Harris Type II fracture of the distal tibia. This includes conditions such as growth arrest, angular deformity, leg length discrepancy, or chronic pain directly attributable to the healed fracture. It is appropriate for follow-up visits addressing these chronic issues, not for the initial acute injury.

• Always sequence this sequela code after the primary diagnosis describing the specific complication (e.g., M21.06- for valgus deformity).
• Ensure documentation clearly links the current condition to the past Salter-Harris Type II fracture of the distal tibia.
• Avoid using this code for the initial acute fracture; specific acute fracture codes exist for that purpose.