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

This code signifies a chronic or late effect of a Salter-Harris Type IV fracture affecting the growth plate at the distal end of the right thigh bone. This type of fracture extends through the epiphysis, physis, and metaphysis, and "sequela" indicates that the initial injury has healed, but there are ongoing complications or residual conditions.

Use this code when documenting long-term issues, such as growth disturbances, angular deformities, or chronic pain, that are directly attributable to a previously sustained Salter-Harris Type IV fracture of the lower right femur. This applies to follow-up encounters occurring after the initial healing phase of the acute fracture.

• Always ensure documentation clearly links the current condition to the previous Salter-Harris Type IV fracture.
• Do not use this code for the initial or acute treatment of the fracture; an acute fracture code would be appropriate at that time.
• Consider additional codes for specific sequelae, such as malunion (M84.0) or limb length discrepancy (M21.7), if documented.