S89.219D Salter-Harris Type I physeal fracture of upper end of unspecified fibula, subsequent encounter for fracture with routine healing

ICD10CM code

#### Name of the Condition
- **Salter-Harris Type I Physeal Fracture of Upper End of Unspecified Fibula**  
- Also known as: Type I growth plate fracture of the fibula

#### Summary
- A Salter-Harris Type I fracture is an injury to the growth plate (physis) at the end of the fibula, usually affecting children and adolescents. This type of fracture involves a separation through the growth plate.

#### Causes
- Common causes include trauma from falls, sports injuries, or accidents where an impact or stress is applied to the leg.

#### Risk Factors
- **Age**: More common in children and adolescents due to open growth plates.
- **Activity Level**: Participation in contact sports or activities that may cause physical impact.

#### Symptoms
- Pain and tenderness around the fibula.
- Swelling and possible bruising near the affected area.
- Difficulty or reluctance to move the affected leg.

#### Diagnosis
- **Physical Examination**: Initial assessment of pain and movement.
- **Imaging Tests**: X-rays are typically used to confirm separation at the growth plate.

#### Treatment Options
- **Immobilization**: Use of a cast or splint to allow healing.
- **Rest**: Limiting movement to ensure proper recovery.
- Treatment focuses on stabilizing the fracture to prevent growth complications.

#### Prognosis and Follow-Up
- Generally, the prognosis is positive, with proper treatment leading to full recovery.
- Follow-up is crucial to monitor healing and prevent growth disturbances.

#### Complications
- Potential growth disturbances if not properly managed.
- Misalignment or improper healing, possibly requiring surgical intervention.

#### Lifestyle & Prevention
- Encourage safe practices in sports to minimize risk of injury.
- Adequate protective gear can help prevent fractures in high-impact sports.

#### When to Seek Professional Help
- If there is severe pain, inability to move the leg, or if the area shows signs of infection (redness, warmth, increased swelling).

#### Additional Resources
- [American Academy of Orthopaedic Surgeons](https://www.aaos.org/)
- [Kids Health - Nemours](https://kidshealth.org/)

#### Tips for Medical Coders
- Ensure the use of the correct coding format for follow-up encounters, in this case, "D" indicates a subsequent encounter with routine healing.
- Double-check for laterality and precise site description to avoid coding errors.

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