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

This code signifies a specific type of growth plate fracture (Salter-Harris Type IV) affecting the upper part of the humerus, where the fracture has healed improperly (malunion). This particular code is used when the patient is seen for follow-up care related to this malunited fracture, rather than the initial injury.

Use this code for a patient presenting for ongoing management of a previously diagnosed Salter-Harris Type IV physeal fracture of the proximal humerus that has healed in an unsatisfactory position. This applies to encounters for assessment, treatment planning, or intervention related to the malunion itself, such as corrective osteotomy or physical therapy.

• Ensure documentation clearly states "malunion" and that the encounter is for follow-up care, not the initial treatment.
• Verify the fracture type is specifically Salter-Harris Type IV and the location is the upper end of the humerus.
• Do not use this code for initial fracture care or for nonunion; specific codes exist for those scenarios.