Sltr-haris Type II physl fx upper end humer, unsp arm, init

This code signifies a specific type of growth plate fracture (Salter-Harris Type II) affecting the upper part of the humerus (arm bone) in a pediatric patient. This fracture extends through the growth plate and into the metaphysis, but the epiphysis remains intact. The injury is to an unspecified arm and is being treated for the first time as a closed fracture.

This code is appropriate for initial encounters where a pediatric patient presents with a Salter-Harris Type II fracture of the proximal humerus, confirmed by imaging. It applies when the laterality (left or right arm) is not documented or cannot be determined. Use this code specifically for closed fractures, meaning the skin is not broken.

• Ensure documentation clearly specifies a Salter-Harris Type II fracture of the proximal humerus.
• Only use this code for the initial encounter of a closed fracture; subsequent encounters or open fractures require different codes.
• If laterality is documented, select a more specific code indicating left or right arm.