Sltr-haris Type IV physeal fx upper end of right tibia, init

This code signifies a specific type of growth plate fracture affecting the upper portion of the right tibia. A Salter-Harris Type IV fracture involves both the epiphyseal plate and a portion of the metaphysis and epiphysis, indicating a more complex injury with potential implications for growth. This particular code is for the initial treatment of a closed fracture, meaning the skin is intact over the injury site.

Apply this code for patients presenting with a newly diagnosed Salter-Harris Type IV fracture of the proximal right tibia. This is appropriate when the fracture is closed and the patient is receiving their initial treatment, which may include reduction, casting, or surgical intervention. Use for the initial encounter in an emergency department, urgent care, or orthopedic clinic setting.

• Ensure documentation clearly specifies "right tibia" and "upper end" or "proximal" to support laterality and location.
• Verify the fracture is indeed Salter-Harris Type IV, as other types have different codes.
• Confirm this is the initial encounter for this specific fracture; subsequent encounters will require different seventh characters.