Salter-Harris Type II physeal fracture of l calcaneus, 7thD

This code signifies a specific type of growth plate fracture (Salter-Harris Type II) affecting the left heel bone (calcaneus). It indicates that the patient is in a follow-up phase where the fracture is healing as expected without complications.

This code is appropriate for documentation of a patient's follow-up visit for a previously diagnosed Salter-Harris Type II fracture of the left calcaneus. It should be used when the fracture is progressing through routine healing, such as during cast changes, follow-up X-rays showing callus formation, or physical therapy sessions aimed at regaining function during the healing process.

• Ensure the encounter is for routine healing and not for delayed healing, nonunion, or malunion, which have different codes.
• Verify laterality (left calcaneus) is accurately documented in the medical record.
• Confirm the fracture type (Salter-Harris Type II) is explicitly stated or clearly implied by the physician's notes.