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

This code signifies a complex growth plate fracture involving both the epiphysis and metaphysis of the upper right tibia, specifically a Salter-Harris Type IV injury. The "subsequent encounter" indicates the patient is receiving ongoing care for this fracture, and the "nonunion" specifies that the bone fragments have failed to heal together after a typical healing period.

Apply this code when documenting follow-up care for a patient with a previously diagnosed Salter-Harris Type IV fracture of the proximal right tibia who is experiencing nonunion. This would be used for appointments related to monitoring the nonunion, discussing treatment options for nonunion (e.g., bone grafting, revision surgery), or managing complications arising from the lack of healing.

• Ensure documentation clearly states "nonunion" and specifies the "subsequent encounter" for this specific fracture type and location.
• Verify the laterality (right tibia) and the specific Salter-Harris type (Type IV) are accurately documented.
• Do not use this code for initial fracture treatment or for malunion; a separate code exists for malunion.