Sltr-haris Type II physl fx upr end r tibia, 7thK

This code signifies a specific growth plate fracture in the upper part of the right shin bone (tibia) that has not healed properly. It's a Salter-Harris Type II injury, meaning the fracture extends through the growth plate and into the metaphysis, but not the epiphysis. The "nonunion" indicates a failure of the bone fragments to knit together after initial treatment.

This code is appropriate for follow-up encounters where a patient is being managed for a previously diagnosed Salter-Harris Type II fracture of the right proximal tibia that has failed to unite. This includes visits for assessing the nonunion, planning further interventions, or managing complications related to the lack of healing. It should not be used for the initial treatment of the fracture.

• Ensure documentation clearly specifies "nonunion" for this specific fracture type and location.
• Verify the encounter is for subsequent care, not the initial fracture treatment.
• Confirm the laterality (right tibia) is accurately documented.