Unsp physeal fracture of upper end of right fibula, init

This code signifies a fracture affecting the growth plate (physis) at the top portion of the right fibula, where the specific type or location of the fracture within the physis is not documented. It indicates that the skin over the fracture is intact (closed fracture) and this is the first time the patient is receiving treatment for this injury.

Use this code when the medical record clearly states a physeal fracture of the upper right fibula, but lacks further detail regarding the Salter-Harris classification or precise anatomical location within the physis. This is appropriate for initial encounters where the fracture is closed and definitive treatment or evaluation is being rendered.

• Ensure the documentation specifies "unspecified" or lacks detail regarding the physeal fracture type.
• Verify laterality (right fibula) and encounter type (initial, closed fracture) are accurately reflected.
• If a specific Salter-Harris classification is documented, a more precise code from the S89.21-S89.29 series should be used instead.