Sltr-haris Type IV physl fx upper end radius, left arm, init

This code signifies a specific growth plate fracture affecting the upper part of the left radius bone, where the fracture line extends through the epiphysis, growth plate, and metaphysis. This type of fracture involves the joint surface and carries a higher risk of growth disturbance.

This code is appropriate for initial encounters when a patient presents with a newly diagnosed Salter-Harris Type IV fracture of the proximal left radius, and the fracture is being treated non-surgically (closed reduction or immobilization). It should be used for the first time the patient is seen for this specific injury.

• Ensure documentation clearly specifies "left arm" and "initial encounter" for a closed fracture.
• Verify the fracture type is explicitly documented as Salter-Harris Type IV, not another type.
• Distinguish between closed and open fractures, as different codes apply for open fractures.