Sltr-haris Type II physl fx low end l tibia, 7thP

This code signifies a specific growth plate fracture in the lower part of the left shin bone, where the fracture line extends through the growth plate and into the metaphysis. It indicates that the patient is in a later stage of care for this injury, and the bone has healed in an abnormal alignment.

This code is appropriate for follow-up encounters when a patient with a previously diagnosed Salter-Harris Type II fracture of the distal left tibia presents with evidence of malunion. This would include situations where the patient is being evaluated for ongoing pain, functional limitations, or considering corrective surgery due to the improper healing.

• Confirm the laterality (left tibia) and the specific Salter-Harris type (Type II) are documented.
• Ensure the encounter is for follow-up care and that malunion is explicitly stated or clearly implied in the clinical documentation.
• Distinguish from initial encounters or encounters for routine healing without malunion.