Sltr-haris Type IV physl fx low end r tibia, 7thG

This code signifies a complex growth plate fracture at the distal end of the right shin bone, specifically a Salter-Harris Type IV, which involves both the epiphysis and metaphysis. The "subsequent encounter" indicates that this is not the initial treatment, and the "delayed healing" specifies that the fracture is not progressing to union at the expected rate.

Apply this code for follow-up visits where a patient is being managed for a previously diagnosed Salter-Harris Type IV fracture of the lower right tibia that is demonstrating delayed union. This would include evaluations, cast changes, or discussions about further interventions due to the slow healing process.

• Ensure documentation clearly states "delayed healing" for the fracture.
• Verify the specific Salter-Harris type (Type IV) and the exact bone (lower end of right tibia).
• Confirm this is a subsequent encounter, not the initial treatment or a sequela.