Sltr-haris Type II physl fx upr end humer, r arm, 7thP

Salter-Harris Type II physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunion

📋Clinical Description

This code signifies a specific type of growth plate fracture (Salter-Harris Type II) affecting the upper part of the right humerus, where the bone has healed incorrectly, resulting in a malunion. This indicates a previous injury that is now being managed for its suboptimal healing outcome.

🎯When to Use

This code is appropriate for follow-up encounters where a patient is being treated for complications arising from a previously sustained Salter-Harris Type II fracture of the right proximal humerus, specifically when malunion has occurred. This includes evaluations, treatments, or surgical interventions aimed at correcting the malunion.

💡Coding Tips

Ensure documentation clearly specifies "malunion" and not "nonunion" or "delayed healing."
Verify the laterality (right arm) and the specific fracture type (Salter-Harris Type II) are explicitly stated.
Confirm this is a subsequent encounter for the fracture, not the initial treatment.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S49.021Sltr-haris Type II physeal fx upper end of humer, right arm

S49.021P(current)

Crosswalks

733.81ApproxICD-9

Same Category

S49Other and unspecified injuries of shoulder and upper arm S49.0Physeal fracture of upper end of humerus S49.00Unspecified physeal fracture of upper end of humerus S49.001Unsp physeal fracture of upper end of humerus, right arm S49.001A