Sltr-haris Type II physeal fx lower end of l tibia, sequela

This code signifies a Salter-Harris Type II fracture affecting the growth plate at the lower end of the left shin bone, specifically indicating that the fracture's effects are now considered a long-term consequence or late effect. This type of fracture involves a break through the physis and into the metaphysis, sparing the epiphysis. The "sequela" designation indicates that the acute injury has resolved, but ongoing issues related to the fracture persist.

Use this code when documenting a patient presenting with chronic pain, deformity, growth disturbance, or other persistent complications directly attributable to a previously sustained Salter-Harris Type II physeal fracture of the lower end of the left tibia. This applies after the initial healing phase of the acute fracture has passed.

• Always ensure documentation clearly specifies "sequela" or "late effect" to justify using this seventh character.
• Do not use this code for the initial or subsequent encounter for the acute fracture; those would use different seventh characters (A, D, G, K, P, S).
• Code any associated chronic conditions or complications (e.g., malunion, growth arrest) separately in addition to this sequela code.