S89.212D
ICD-10-CMSalter-Harris Type I physeal fracture of upper end of left fibula, subsequent encounter for fracture with routine healing
This code signifies a growth plate fracture at the top of the left fibula, specifically a Salter-Harris Type I injury, which involves a transverse fracture through the physis without involvement of the epiphysis or metaphysis. The "subsequent encounter" indicates that the patient is receiving follow-up care for this fracture, and "routine healing" suggests that the recovery is progressing as expected without complications.
This code is appropriate for documenting follow-up visits for a pediatric or adolescent patient who previously sustained a Salter-Harris Type I fracture of the proximal left fibula. It should be used when the fracture is healing routinely, and the patient is not experiencing any acute complications or delayed healing. Examples include cast checks, physical therapy evaluations during the healing phase, or routine follow-up X-rays confirming progression of healing.
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