Sltr-haris Type IV physl fx upper end of unsp tibia, sequela

This code signifies a Salter-Harris Type IV fracture affecting the growth plate and extending through the metaphysis and epiphysis at the proximal end of the tibia. The "sequela" designation indicates that this code is used for conditions or complications arising directly from the initial fracture, after the acute phase of injury has passed. These sequelae could include growth disturbances, angular deformities, or chronic pain.

Use this code when documenting long-term complications or residual effects stemming from a previously sustained Salter-Harris Type IV fracture of the proximal tibia. This applies to follow-up encounters where the focus is on managing the chronic consequences rather than the acute treatment of the fracture itself. Examples include evaluating for limb length discrepancy or addressing persistent joint stiffness years after the initial injury.

• Always assign an additional code to specify the nature of the sequela (e.g., malunion, nonunion, growth arrest).
• Ensure documentation clearly links the current condition to the prior Salter-Harris Type IV fracture.
• This code is for unspecified tibia; use more specific codes if the laterality (right or left) is known.