S49.149S
ICD-10-CMSalter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, sequela
This code signifies a Salter-Harris Type IV growth plate fracture affecting the distal humerus, where the specific arm (left or right) is not documented. This type of fracture involves both the epiphysis and metaphysis, extending through the physis, and is associated with a higher risk of growth disturbance. The "S" at the end indicates that this is a sequela, meaning it represents a late effect or complication of the original injury.
Use this code when documenting a long-term complication or residual condition directly resulting from a previously sustained Salter-Harris Type IV physeal fracture of the lower end of the humerus, and the laterality of the initial injury is not specified. This would include conditions such as growth arrest, angular deformity, or chronic pain attributable to the original fracture. It is appropriate when the acute phase of the injury has passed and the patient is presenting for follow-up of these persistent issues.
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