Sltr-haris Type IV physeal fx phalanx of right toe, 7thK

This code signifies a complex growth plate fracture (Salter-Harris Type IV) affecting a toe bone on the right foot, specifically when the fracture has failed to heal properly (nonunion). This type of fracture involves both the epiphysis and metaphysis, extending through the physis.

Apply this code for follow-up encounters where a patient is being treated for a previously diagnosed Salter-Harris Type IV physeal fracture of a right toe phalanx that has not united. This includes situations where further intervention, such as surgery or casting adjustments, is being considered or performed due to the nonunion.

• Ensure documentation clearly specifies "nonunion" for the fracture.
• Verify the laterality (right toe) and the specific bone (phalanx).
• Confirm the encounter is "subsequent" and not the initial treatment for the fracture.