Sltr-haris Type IV physl fx upr end humer, l arm, 7thK

This code describes a specific type of growth plate fracture (Salter-Harris Type IV) affecting the top part of the left humerus, which is the long bone of the upper arm. Importantly, this fracture has not healed properly and is in a state of nonunion, meaning the bone fragments have failed to unite after a reasonable period. This particular encounter is for ongoing management of this unhealed fracture.

This code is appropriate for subsequent encounters when a patient is being treated for a Salter-Harris Type IV fracture of the proximal left humerus that has been diagnosed with nonunion. This includes follow-up visits for monitoring, evaluation of treatment effectiveness, or preparation for further interventions such as surgery to address the nonunion.

• Ensure documentation clearly specifies "nonunion" for the fracture.
• Verify the laterality (left arm) and the specific Salter-Harris type (Type IV) are documented.
• Confirm this is a subsequent encounter, not the initial treatment for the fracture.