Sltr-haris Type II physl fx upr end rad, r arm, 7thP

This code signifies a healing fracture of the growth plate (physis) at the proximal end of the right radius, specifically a Salter-Harris Type II injury. The fracture is in a subsequent encounter phase, indicating ongoing management, and has developed malunion, meaning it has healed in an abnormal or misaligned position.

Apply this code for follow-up visits where a pediatric patient's previously diagnosed Salter-Harris Type II fracture of the right proximal radius is being monitored, and radiographic or clinical assessment confirms malunion. This is appropriate for encounters after the initial treatment, but before the fracture is fully healed without complication.

• Ensure documentation clearly specifies "right" arm and "upper end of radius" to differentiate from other locations.
• Verify the "subsequent encounter" status and the presence of "malunion" are explicitly stated in the physician's notes.
• Pair with an external cause code if the mechanism of injury is relevant and documented for the initial encounter.