Sltr-haris Type IV physl fx upr end unsp tibia, 7thG

This code signifies a growth plate fracture at the top of the shin bone (tibia) that extends through both the growth plate and a portion of the bone above and below it, classified as a Salter-Harris Type IV. The "subsequent encounter" indicates that the patient is receiving follow-up care for this fracture, and "delayed healing" specifies that the bone is not mending at the expected rate.

Apply this code when a patient presents for ongoing management of a previously diagnosed Salter-Harris Type IV fracture of the proximal tibia, and the physician documents that the fracture healing process is prolonged or slower than anticipated. This would be used for office visits, hospital outpatient visits, or other encounters focused on monitoring and treating the delayed union of this specific fracture.

• Ensure physician documentation explicitly states "delayed healing" for this specific fracture site and type.
• Verify that the encounter is for follow-up care, not the initial treatment of the fracture.
• Confirm the fracture is located at the "upper end of the tibia" and is a Salter-Harris Type IV.