Sltr-haris Type II physl fx low end humer, unsp arm, 7thP

This code signifies a follow-up visit for a pediatric patient who previously sustained a Salter-Harris Type II fracture at the distal end of the humerus, where the fracture has healed improperly, resulting in a malunion. This specific type of growth plate fracture involves a break through the physis and into the metaphysis. The "unspecified arm" indicates that the laterality (left or right) was not documented.

Apply this code when documenting a subsequent encounter for a patient undergoing treatment or evaluation for a malunited Salter-Harris Type II fracture of the distal humerus. This would include visits for assessing the extent of malunion, planning corrective surgery, or managing complications arising from the improper healing. It is appropriate for any follow-up care after the initial treatment phase.

• Ensure documentation clearly specifies "malunion" as the healing outcome, not nonunion or routine healing.
• Verify that the encounter is indeed "subsequent" and not the initial treatment for the fracture.
• If laterality (left or right arm) is documented, a more specific code should be selected.