Sltr-haris Type II physeal fx phalanx of left toe, sequela

This code describes a Salter-Harris Type II fracture affecting the growth plate (physis) of a phalanx in the left toe, specifically indicating a long-term complication or late effect of the original injury. This type of fracture involves a break through the physis and extending into the metaphysis, but not into the epiphysis. The "sequela" designation implies that the patient is presenting for treatment of a residual problem directly resulting from the initial fracture, such as malunion, nonunion, growth disturbance, or chronic pain.

Use this code when documenting the treatment of a patient experiencing a current problem or condition that is a direct consequence of a previously sustained Salter-Harris Type II physeal fracture of a phalanx in the left toe. This would include scenarios where the patient is being managed for growth plate arrest, angular deformity, leg length discrepancy, or chronic pain directly attributable to the past fracture. It is appropriate for follow-up care long after the initial acute injury has healed.

• Always assign an additional code to specify the nature of the sequela (e.g., malunion, nonunion, growth disturbance).
• Do not use this code for the initial acute fracture or for routine follow-up care of a healing fracture without complications.
• Ensure documentation clearly links the current condition to the past Salter-Harris Type II fracture of the left toe phalanx.