Sltr-haris Type IV physl fx upper end humer, left arm, init

This code describes a specific growth plate fracture (Salter-Harris Type IV) affecting the upper part of the left humerus. This type of fracture involves both the physis and a portion of the metaphysis and epiphysis, indicating a more complex injury to the developing bone. The "A" suffix signifies that this is the initial encounter for a closed fracture, meaning the skin is intact over the injury site.

Use this code for a patient presenting with a newly diagnosed Salter-Harris Type IV fracture of the proximal left humerus, where the skin remains unbroken. This applies to the initial evaluation and management of the fracture, including imaging, reduction, and casting. It is appropriate when the provider documents this specific fracture type and location in a pediatric or adolescent patient.

• Ensure documentation clearly specifies "Salter-Harris Type IV" and the exact location (upper end of humerus, left arm).
• Verify the encounter is for the initial treatment of a closed fracture; subsequent encounters or open fractures will require different seventh characters.
• Confirm the patient's age is appropriate for a physeal (growth plate) fracture.