Sltr-haris Type IV physeal fx phalanx of unsp toe, 7thK

This code signifies a complex growth plate fracture (Salter-Harris Type IV) affecting a toe bone in an unspecified toe. The fracture extends through the metaphysis, physis, and epiphysis, indicating a more severe injury. This specific code is used when the patient is receiving ongoing care for this fracture, and the bone has failed to heal properly (nonunion).

This code is appropriate for follow-up encounters where a patient is being treated for a previously diagnosed Salter-Harris Type IV fracture of a toe phalanx that has not united. This includes situations where the patient is undergoing further evaluation, non-surgical management (e.g., casting adjustments, physical therapy), or surgical intervention to address the nonunion. It would not be used for the initial treatment of the fracture or for a fracture that is healing normally.

• Ensure documentation clearly states "nonunion" and specifies the encounter as "subsequent."
• Verify the fracture type is explicitly documented as Salter-Harris Type IV.
• Confirm the affected bone is a phalanx of a toe, and laterality is unspecified if not documented.