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

This code signifies a follow-up encounter for a growth plate fracture at the distal end of the humerus, where the fracture line extends through both the epiphysis and metaphysis, and the bone has healed in an abnormal alignment. This specific type of Salter-Harris fracture (Type IV) is intra-articular and carries a higher risk of growth disturbance and long-term complications. The malunion indicates that the bone fragments have united, but in a position that is not anatomically correct.

Use this code for subsequent visits when a patient is being managed for a previously diagnosed Salter-Harris Type IV fracture of the lower humerus that has healed with malunion. This would include encounters for monitoring, physical therapy, or discussions regarding potential corrective surgery for the malunion. It is appropriate when the initial treatment phase is complete, and the focus is now on the consequences of the imperfect healing.

• Ensure documentation clearly states "malunion" and specifies a "subsequent encounter" for the fracture.
• Verify the fracture type is explicitly Salter-Harris Type IV and located at the distal humerus.
• Do not use this code for initial treatment or active healing phases; those require different encounter types.