Sltr-haris Type III physeal fracture of r calcaneus, sequela

This code signifies a specific type of growth plate fracture (Salter-Harris Type III) affecting the right heel bone (calcaneus) that has resulted in a long-term consequence or complication. It indicates that the initial acute injury has passed, and the patient is now experiencing a residual effect from that fracture.

Apply this code when documenting a patient presenting with a chronic issue directly attributable to a previously sustained Salter-Harris Type III fracture of the right calcaneal physis. This would include follow-up visits for ongoing pain, deformity, or functional limitation stemming from the healed or mal-united fracture.

• Ensure documentation clearly states the fracture is a sequela, not an acute injury.
• Look for terms like "history of," "due to old fracture," or "residual effects of" in the physician's notes.
• Consider if any additional codes are needed to specify the nature of the sequela (e.g., pain, malunion).