Sltr-haris Type IV physl fx low end r femr, 7thD

This code identifies a specific growth plate fracture in the lower part of the right thigh bone, where the fracture line extends through the metaphysis, physis, and epiphysis. The "D" suffix indicates that this is a follow-up visit for a fracture that is healing as expected without complications.

This code is appropriate for subsequent encounters when a patient with a previously diagnosed Salter-Harris Type IV fracture of the distal right femur is seen for routine follow-up, cast changes, or monitoring of healing progress. It signifies that the fracture is progressing through a normal healing phase.

• Ensure the encounter is for routine follow-up and not for delayed healing, nonunion, or malunion, which would require a different seventh character.
• Verify laterality (right femur) and the specific Salter-Harris type (Type IV) are accurately documented.
• Confirm the fracture is of the lower end of the femur; fractures of other femoral locations or growth plates would require different codes.