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

This code signifies a Salter-Harris Type IV fracture affecting the growth plate (physis) of a phalanx in an unspecified toe, where the fracture has healed but is causing ongoing problems or complications. A Type IV fracture involves both the epiphysis and metaphysis, extending through the physis. The "sequela" indicates that the acute injury has passed, and the code is used to report the long-term effects or conditions resulting from the original fracture.

This code is appropriate when documenting a patient presenting with residual issues such as deformity, chronic pain, growth disturbance, or functional limitations in a toe, directly attributable to a previously sustained Salter-Harris Type IV physeal fracture of a phalanx. It should be used after the initial healing phase of the acute fracture has concluded.

• Always use this code as a secondary diagnosis, following the code for the specific sequela (e.g., malunion, nonunion, growth arrest).
• Ensure documentation clearly links the current condition to the previous Salter-Harris Type IV fracture.
• Verify that the fracture occurred in a phalanx of a toe and not another bone.