Sltr-haris Type IV physl fx low end ulna, r arm, 7thP

This code signifies a specific type of growth plate fracture (Salter-Harris Type IV) affecting the lower part of the right ulna, which is a bone in the forearm. The fracture has previously been treated, but has healed improperly, resulting in a malunion. This indicates a chronic or ongoing issue with the bone's alignment after healing.

This code is appropriate for follow-up encounters where a patient is being evaluated or treated for complications arising from a malunited Salter-Harris Type IV fracture of the distal right ulnar physis. This includes scenarios such as pain, deformity, or functional limitations due to the improper healing. It would be used when the initial treatment has concluded, and the focus is now on managing the consequences of the malunion.

• Ensure documentation clearly specifies "right arm" and "ulna" to support laterality and bone specificity.
• Verify the encounter is for a "subsequent encounter for fracture with malunion" and not an initial treatment or routine follow-up for a healed fracture.
• Look for physician notes detailing the Salter-Harris classification (Type IV) and the presence of malunion.