S89.149G
ICD-10-CMSalter-Harris Type IV physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with delayed healing
This code signifies a Salter-Harris Type IV fracture affecting the growth plate at the lower end of the tibia, where the fracture extends through the epiphysis, physis, and metaphysis. The "G" suffix indicates that this is a subsequent encounter for the fracture, and the healing process is progressing slower than expected.
Use this code when documenting follow-up care for a pediatric patient who sustained a Salter-Harris Type IV fracture of the distal tibia. This is appropriate when the physician notes delayed union or a slower-than-anticipated healing trajectory during a subsequent visit. It should be applied after the initial treatment phase and before definitive healing is achieved.
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