Other physeal fracture of upper end of right femur, sequela

This code signifies a past injury to the growth plate (physis) at the top of the right thigh bone, which is now causing ongoing problems or conditions. This type of fracture, not otherwise specified as Salter-Harris, occurred in a pediatric patient and has resulted in a long-term consequence. Examples of sequelae include growth arrest, angular deformity, or chronic pain related to the original fracture.

Apply this code when documenting a patient presenting with a current condition or complication directly attributable to a previously sustained physeal fracture of the upper end of the right femur. This is appropriate when the acute phase of the original fracture has passed, and the current encounter addresses a residual effect. It should be used for follow-up care related to the long-term impact of the injury.

• Always assign an additional code to specify the nature of the sequela (e.g., growth disturbance, malunion).
• Ensure documentation clearly links the current condition to the old physeal fracture.
• This "S" (sequela) seventh character indicates that the current encounter is for complications or conditions arising from the initial injury, not the initial injury itself.