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

This code signifies a complex growth plate fracture at the distal end of the right thigh bone, specifically a Salter-Harris Type IV, which involves both the epiphysis and metaphysis. The "nonunion" aspect indicates that the fracture has failed to heal adequately after an initial treatment period.

This code is appropriate for follow-up encounters where a patient with a previously diagnosed Salter-Harris Type IV fracture of the right distal femur is being managed for a confirmed nonunion. This could include evaluations for further surgical intervention, casting changes, or monitoring of healing progress when nonunion is the primary concern.

• Ensure documentation clearly specifies "nonunion" and not delayed union or malunion.
• Verify the fracture is indeed Salter-Harris Type IV and located at the lower end of the right femur.
• This code is for subsequent encounters; an initial encounter would use a different 7th character.