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

This code signifies a complex growth plate fracture affecting the lower end of the left shin bone, specifically a Salter-Harris Type IV injury. This type of fracture extends through the epiphysis, physis, and metaphysis, carrying a higher risk of growth disturbance. The "K" suffix indicates that this is a subsequent encounter for a fracture that has failed to heal properly (nonunion).

Use this code when documenting follow-up care for a patient with a previously diagnosed Salter-Harris Type IV fracture of the distal left tibia where the fracture fragments have not united. This applies to situations such as ongoing management of the nonunion, preparation for revision surgery, or monitoring the progression of the nonunion.

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