Sltr-haris Type II physl fx upr end unsp tibia, 7thP

This code signifies a Salter-Harris Type II fracture affecting the growth plate at the top of an unspecified tibia, where the bone has healed incorrectly (malunion). This specific type of fracture involves a break through the growth plate and extending into the metaphysis.

Use this code for follow-up encounters when a patient is being treated for a previously diagnosed Salter-Harris Type II physeal fracture of the proximal tibia that has healed with an unsatisfactory alignment. This includes situations where the malunion is being monitored, or further intervention for the malunion is being planned or performed.

• Ensure documentation clearly states "malunion" and specifies the "subsequent encounter" for treatment or monitoring.
• Verify that the fracture is indeed a Salter-Harris Type II and located at the upper end of the tibia.
• If the laterality (left or right) of the tibia is known, a more specific code should be used.