S49.009K
ICD-10-CMUnspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunion
This code describes a fracture involving the growth plate (physis) at the top of the humerus, where the specific location or type of fracture is not documented. It indicates that the patient is in a subsequent phase of care for this injury, and the fracture has failed to heal properly, resulting in a nonunion. The affected arm is also not specified in the medical record.
This code is appropriate for follow-up encounters where a patient is being treated for a previously diagnosed, unspecific physeal fracture of the proximal humerus that has not united. It should be used when the medical record lacks details regarding the specific physis involved (e.g., Salter-Harris type) or the laterality of the injury. This code signifies ongoing management of a complicated fracture healing process.
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