S89.122D
ICD-10-CMSalter-Harris Type II physeal fracture of lower end of left tibia, subsequent encounter for fracture with routine healing
This code describes a specific growth plate fracture in the lower part of the left shin bone, where the fracture line extends through the growth plate and then into the metaphysis (the wider part of the bone shaft). It indicates that the patient is in a follow-up phase of treatment, and the fracture is healing as expected without complications.
This code is appropriate for subsequent encounters when a patient with a previously diagnosed Salter-Harris Type II fracture of the distal left tibia is being monitored for routine healing. This includes follow-up appointments where imaging confirms satisfactory callus formation and progression toward union, or when cast changes and physical therapy are being managed during the healing phase.
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