Sltr-haris Type II physl fx lower end humer, right arm, sqla

This code signifies a Salter-Harris Type II fracture affecting the growth plate at the distal end of the right humerus, specifically indicating a sequela. A Type II fracture involves the physis and a metaphyseal fragment, but the epiphysis remains intact. "Sequela" denotes a late effect or complication of the initial injury, meaning the fracture itself is no longer acute.

Apply this code when documenting a patient presenting with a chronic issue, deformity, or functional impairment directly attributable to a previously sustained Salter-Harris Type II fracture of the right distal humerus. This would include conditions like growth arrest, angular deformity, or persistent pain long after the initial healing phase. It is used when the acute fracture has resolved, but its lasting effects are being treated.

• Always use this code as a secondary diagnosis, following a code describing the specific sequela (e.g., malunion, nonunion, growth disturbance).
• Ensure documentation clearly states the fracture is a "sequela" or "late effect" and specifies the right humerus.
• Do not use this code for the initial acute fracture; a different code from the S42.4- series would be appropriate for the acute phase.