Sltr-haris Type IV physl fx upr end r tibia, 7thD

This code signifies a Salter-Harris Type IV fracture affecting the growth plate at the top of the right tibia, indicating a fracture that extends through the epiphysis, growth plate, and metaphysis. The "D" seventh character specifies that this is a subsequent encounter for the fracture, and it is currently healing routinely without complications.

This code is appropriate for follow-up visits where a patient with a previously diagnosed Salter-Harris Type IV fracture of the proximal right tibia is being monitored for expected healing progress. It would be used after the initial treatment phase, such as cast application or surgical fixation, and during the period of routine follow-up appointments.

• Ensure the encounter is for routine healing; use different seventh characters for delayed healing, nonunion, or malunion.
• Verify the fracture type (Salter-Harris Type IV) and specific location (upper end of right tibia).
• Confirm this is a subsequent encounter, not the initial treatment or an encounter for complications.