Sltr-haris Type II physl fx upr end unsp fibula, 7thP

This code signifies a Salter-Harris Type II fracture affecting the growth plate at the top of an unspecified fibula, which is currently in a healing phase but has united in an anatomically incorrect position. This specific type of fracture involves a break through the physis and a portion of the metaphysis. The malunion indicates that the bone fragments have healed, but with an unacceptable degree of angulation, rotation, or shortening.

Use this code for follow-up encounters where a patient is being treated for a previously diagnosed Salter-Harris Type II physeal fracture of the upper fibula that has healed improperly. This applies when the malunion is the primary focus of the encounter, such as for evaluation of function, pain, or planning for corrective procedures. It is appropriate for subsequent visits after the initial treatment phase, where the fracture is no longer acute but the malunion is being addressed.

• Ensure documentation clearly specifies "malunion" and not "nonunion" or "delayed union."
• Verify that the fracture location is the "upper end of the fibula" and the Salter-Harris type is "II."
• Confirm this is a "subsequent encounter" for the fracture, indicating ongoing care after the initial injury.