Unsp physeal fracture of upper end of right tibia, sequela

This code indicates a long-term complication or late effect resulting from an unspecified growth plate fracture in the upper part of the right shin bone. The original injury occurred in the past, and the patient is now experiencing residual problems directly attributable to that fracture.

Use this code when documenting a patient's current condition that is a direct consequence of a previously sustained, unspecified physeal fracture of the upper right tibia. This applies when the acute phase of the original injury has passed, and the patient is being treated for chronic issues such as growth disturbance, deformity, or persistent pain related to the old fracture.

• Ensure documentation clearly links the current condition to the previous physeal fracture.
• This code is for sequela (late effects); do not use for acute or initial injury encounters.
• Specificity regarding the type of physeal fracture (e.g., Salter-Harris classification) should be sought if available, but this code is used when that detail is unspecified.