Sltr-haris Type IV physl fx upr end rad, unsp arm, 7thK

This code signifies a complex growth plate fracture (Salter-Harris Type IV) affecting the upper part of the radius bone. Specifically, it indicates that the fracture has failed to heal properly (nonunion) and the patient is presenting for follow-up care or treatment related to this ongoing issue. The affected arm is not specified.

Apply this code when documenting a subsequent encounter for a patient with a previously diagnosed Salter-Harris Type IV physeal fracture of the proximal radius that has developed nonunion. This would include visits for monitoring, planning further intervention, or managing complications related to the unhealed fracture.

• Ensure documentation clearly states "nonunion" and specifies the Salter-Harris Type IV classification.
• Verify this is a subsequent encounter, not the initial treatment for the fracture.
• Confirm the fracture location is the upper end of the radius.