Salter-Harris Type IV physeal fracture of l calcaneus, 7thP

This code signifies a specific type of growth plate fracture in the left heel bone, where the fracture line extends through the epiphysis, growth plate, and metaphysis. The "subsequent encounter" indicates the patient is receiving follow-up care for this fracture, and "malunion" specifies that the bone has healed in an abnormal or misaligned position.

This code is appropriate for documenting ongoing treatment, rehabilitation, or evaluation of a previously diagnosed Salter-Harris Type IV fracture of the left calcaneus that has healed incorrectly. It would be used when the patient presents for assessment of function, pain, or complications related to the malunion, or for planning corrective procedures.

• Ensure documentation clearly states "left calcaneus" and "Salter-Harris Type IV" for accurate selection.
• The "P" seventh character indicates a subsequent encounter for a fracture with malunion, so verify the encounter type.
• Differentiate from nonunion (S99.042N) or routine healing (S99.042D, S99.042G, S99.042K, S99.042S).