Sltr-haris Type IV physl fx upr end rad, l arm, 7thP

This code signifies a Salter-Harris Type IV fracture affecting the growth plate at the upper end of the radius in the left arm, which has healed incorrectly (malunion). This type of fracture involves both the epiphysis and metaphysis, extending through the physis. The "P" seventh character indicates that this is a subsequent encounter for the fracture, specifically addressing the complication of malunion.

Use this code when documenting follow-up care for a patient who previously sustained a Salter-Harris Type IV physeal fracture of the left proximal radius, and imaging or clinical assessment confirms that the fracture has healed with an unacceptable alignment or deformity. This code is appropriate for encounters where the malunion is the primary focus of treatment or evaluation, such as planning for corrective osteotomy or assessing functional limitations due to the malunion.

• Ensure documentation clearly specifies "left arm" and "upper end of radius" to support anatomical specificity.
• Verify that the fracture type is explicitly documented as Salter-Harris Type IV.
• The "P" seventh character is crucial and indicates a subsequent encounter for a fracture with malunion, not initial treatment or routine follow-up without complications.