Sltr-haris Type IV physl fx low end unsp femr, 7thP

This code signifies a Salter-Harris Type IV fracture affecting the growth plate at the distal end of the femur, where the fracture has healed improperly (malunion). This specific type of physeal fracture involves both the epiphysis and metaphysis, extending through the physis. The "unspecified" nature indicates the laterality (left or right) of the femur is not documented.

This code is appropriate for a patient presenting for follow-up care of a previously diagnosed Salter-Harris Type IV distal femoral physeal fracture that has healed with malunion. This would include scenarios such as surgical correction of the malunion, physical therapy for functional deficits due to malunion, or ongoing monitoring of growth plate disturbance.

• Ensure documentation clearly states "malunion" as the healing outcome.
• Verify this is a subsequent encounter, not the initial treatment of the fracture.
• If laterality (left or right femur) is documented, a more specific code should be used.