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

This code describes a Salter-Harris Type IV fracture affecting the growth plate at the upper end of the radius, where the fracture has not healed correctly (malunion). This specific type of fracture involves both the epiphysis and metaphysis, extending through the physis. The "subsequent encounter" indicates that this code is used for follow-up care related to the malunion, not the initial injury.

Use this code when documenting ongoing treatment or evaluation for a patient who previously sustained a Salter-Harris Type IV fracture of the proximal radius, and that fracture has healed in an anatomically incorrect position. This would apply to visits where the malunion is being assessed, monitored, or managed, such as for pain, deformity, or functional limitations resulting from the improper healing.

• Ensure documentation clearly states "malunion" and specifies the "subsequent encounter" for this condition.
• Verify the fracture type is explicitly Salter-Harris Type IV and located at the upper end of the radius.
• Do not use this code for initial treatment of the fracture or for nonunion (failure to heal).