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

Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion

📋Clinical Description

This code signifies a complex growth plate fracture at the distal end of the left humerus, specifically a Salter-Harris Type IV injury. This type of fracture involves both the epiphysis and metaphysis, extending through the physis, and has failed to heal properly, resulting in a nonunion.

🎯When to Use

Apply this code for follow-up encounters of a patient with a previously diagnosed Salter-Harris Type IV fracture of the left distal humerus that has not united. This would be used when the patient is receiving ongoing treatment for the nonunion, such as casting changes, physical therapy, or surgical planning for revision.

💡Coding Tips

Ensure documentation clearly specifies "nonunion" for the fracture healing status.
Verify the fracture is indeed Salter-Harris Type IV and located at the lower end of the left humerus.
This "K" seventh character indicates a subsequent encounter for a fracture with nonunion; do not use for initial treatment or routine healing.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S49.142Sltr-haris Type IV physeal fx lower end of humerus, left arm

S49.142K(current)

Crosswalks

733.82ApproxICD-9

Same Category

S49Other and unspecified injuries of shoulder and upper arm S49.0Physeal fracture of upper end of humerus S49.00Unspecified physeal fracture of upper end of humerus S49.001Unsp physeal fracture of upper end of humerus, right arm S49.001A