Sltr-haris Type IV physeal fx lower end of right femur, init

This code describes a specific type of growth plate fracture (Salter-Harris Type IV) affecting the lower end of the right thigh bone (femur). This fracture extends through the epiphysis, physis, and metaphysis, indicating a more complex injury to the growth plate. The "initial encounter" and "closed fracture" specify that this is the first time the patient is being treated for a fracture where the skin remains intact.

This code is appropriate for documenting the initial treatment of a pediatric patient presenting with a Salter-Harris Type IV fracture of the distal right femur, confirmed by imaging. It should be used when the fracture has not broken through the skin. This code is also applicable for the initial surgical repair or non-surgical management of such an injury.

• Ensure documentation clearly specifies "right femur" and "lower end" to differentiate from other femoral fractures.
• Verify the Salter-Harris classification (Type IV) and confirm it's a closed fracture.
• The "A" in the seventh character indicates an initial encounter; use subsequent characters for follow-up care.