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

This code signifies a specific type of growth plate fracture (Salter-Harris Type IV) affecting the upper part of the right humerus, which is the long bone of the upper arm. The fracture has healed incorrectly, resulting in a malunion, and this encounter is for follow-up care related to this ongoing issue.

This code is appropriate when a patient presents for a follow-up visit, cast change, or other ongoing management of a previously diagnosed Salter-Harris Type IV physeal fracture of the right proximal humerus that has healed in an anatomically incorrect position. It indicates that the malunion is the primary focus of the current encounter.

• Ensure documentation clearly specifies "right arm" and "malunion" for this specific Salter-Harris Type IV fracture.
• Verify that the encounter is for subsequent care related to the fracture, not the initial treatment or a new injury.
• Consider additional codes for any associated complications or procedures performed during the encounter.