Salter-Harris Type IV physeal fracture of r calcaneus, 7thK

This code signifies a complex growth plate fracture of the right heel bone (calcaneus) that extends through the metaphysis, physis, and epiphysis. The "subsequent encounter" indicates ongoing treatment for this fracture, and "nonunion" specifies that the bone fragments have failed to heal together after a typical healing period.

This code is appropriate for follow-up visits, cast changes, or surgical interventions when a patient is still undergoing treatment for a Salter-Harris Type IV fracture of the right calcaneus and the fracture has been documented as not healing properly. It should be used after the initial treatment phase has concluded and nonunion has been identified.

• Ensure documentation clearly states "Salter-Harris Type IV" and specifies the "right calcaneus."
• Verify that the encounter is for ongoing care and that "nonunion" is explicitly documented by the provider.
• Do not use this code for initial treatment or for fractures that are healing normally.