Sltr-haris Type I physeal fx lower end of r femur, sequela

This code indicates a Salter-Harris Type I fracture affecting the growth plate at the lower end of the right thigh bone, with the injury's long-term effects or complications being addressed. This type of fracture involves a complete separation of the epiphysis from the metaphysis through the growth plate, without bone fracture. The "sequela" designation signifies that the current encounter is for a condition resulting from the initial fracture, not the acute injury itself.

Use this code when documenting follow-up care for a patient who previously sustained a Salter-Harris Type I physeal fracture of the lower end of the right femur, and is now presenting with a residual problem directly attributable to that past injury. This could include issues like growth disturbance, limb length discrepancy, angular deformity, or chronic pain at the fracture site after the initial healing phase. Do not use this code for the initial acute fracture encounter.

• Always assign an additional code to specify the nature of the sequela (e.g., M21.6X1 for limb length discrepancy, M92.211 for other specified disorders of epiphysis, right femur).
• Ensure documentation clearly links the current condition to the previous Salter-Harris Type I fracture of the right distal femur.
• Verify the laterality (right) and the specific bone (femur) and location (lower end) are accurately reflected in the medical record.