Sltr-haris Type I physeal fx lower end of r fibula, sequela

This code signifies a Salter-Harris Type I growth plate fracture affecting the lower portion of the right fibula, specifically indicating a long-term complication or residual effect of the original injury. This type of fracture involves a separation of the epiphysis from the metaphysis through the growth plate itself, without bone involvement. The "sequela" designation points to ongoing issues stemming from the initial fracture, such as growth disturbance, deformity, or chronic pain.

This code is appropriate for documenting follow-up encounters where a patient presents with persistent problems directly attributable to a previously sustained Salter-Harris Type I fracture of the right distal fibula. Examples include evaluating for limb length discrepancy, angular deformity, or chronic pain in the ankle region after the initial fracture has healed. It should be used when the acute phase of the fracture has passed, and the current encounter addresses a residual condition.

• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated (e.g., M21.671 for limb length discrepancy, M20.41 for acquired hallux valgus).
• Ensure documentation clearly links the current condition to the prior Salter-Harris Type I fracture of the right distal fibula.
• Verify laterality (right fibula) is accurately reflected in the medical record.