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

This code signifies a specific type of growth plate fracture (Salter-Harris Type IV) affecting the right heel bone (calcaneus). The fracture has previously occurred and is now in a healing phase where the bone fragments have joined together incorrectly, resulting in a deformity.

This code is appropriate for documentation of follow-up care for a patient whose right calcaneal Salter-Harris Type IV fracture has healed with a noticeable malunion. This would include visits for assessment of the malunion, planning for corrective surgery, or managing complications arising from the improper healing.

• Ensure documentation clearly specifies "malunion" and not "nonunion" or "delayed healing."
• Verify the laterality (right) and the specific bone (calcaneus) are explicitly stated in the medical record.
• Confirm this is a subsequent encounter, indicating the initial treatment for the acute fracture has already occurred.