Sltr-haris Type III physl fx upr end r tibia, 7thP

This code describes a specific type of growth plate fracture (Salter-Harris Type III) affecting the upper part of the right shin bone in a pediatric patient. It indicates that the fracture is currently healing, but has done so in an unsatisfactory position, resulting in a malunion.

Use this code for follow-up encounters with a pediatric patient who previously sustained a Salter-Harris Type III fracture of the proximal right tibia, and imaging or clinical assessment confirms that the fracture has healed or is healing with a noticeable deformity or misalignment. This code is appropriate when the malunion is being managed, whether conservatively or surgically.

• Ensure documentation specifies "right tibia" and "upper end" for laterality and location.
• Confirm the Salter-Harris type (III) is explicitly stated or clearly inferable from the physician's notes.
• Verify that the encounter is for the subsequent management of the fracture and that malunion is documented as the current complication.