Sltr-haris Type IV physl fx low end unsp tibia, 7thK

This code signifies a complex growth plate fracture (Salter-Harris Type IV) affecting the lower end of the tibia, where the fracture line extends through the epiphysis, physis, and metaphysis. The "subsequent encounter" indicates ongoing treatment for this specific fracture, and "nonunion" specifies that the bone fragments have failed to heal together after a reasonable period.

Apply this code for follow-up visits, cast changes, or surgical interventions related to a previously diagnosed Salter-Harris Type IV fracture of the distal tibia that has not healed. This includes situations where non-operative or operative management is being pursued to address the nonunion.

• Always confirm the specific Salter-Harris type and location (lower end of tibia) from the physician's documentation.
• Ensure the encounter is for ongoing care of the fracture and that nonunion is explicitly documented.
• Pair with appropriate procedure codes for any surgical interventions performed to address the nonunion.