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

This code signifies a specific type of growth plate fracture affecting the distal humerus (lower end of the upper arm bone) on the left side. A Salter-Harris Type IV fracture involves both the epiphysis and metaphysis, extending through the physis (growth plate). This particular instance describes a closed fracture, meaning the skin remains intact.

This code is appropriate for documenting the initial treatment encounter for a pediatric patient presenting with a left distal humeral growth plate fracture that has been classified as Salter-Harris Type IV. This would typically be diagnosed via X-ray imaging following a fall or direct trauma to the elbow region. It is used when the fracture has not broken through the skin.

• Ensure documentation clearly specifies "Salter-Harris Type IV" and "left humerus" to support this code.
• Verify the encounter is for the initial treatment of the fracture; subsequent encounters will require a different seventh character.
• Confirm the fracture is "closed" as opposed to "open" (compound).