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

This code signifies a specific growth plate fracture (Salter-Harris Type IV) located at the upper end of the radius bone. This type of fracture involves both the growth plate and a portion of the metaphysis and epiphysis, indicating a more complex injury to the developing bone. The injury occurred in an unspecified arm and is being treated for the first time as a closed fracture.

Use this code for a patient presenting with an acute, non-surgical Salter-Harris Type IV fracture of the proximal radial physis. This applies when the documentation clearly states the fracture type, location, and that it's the initial encounter for a closed injury. It is appropriate when the laterality of the arm is not specified in the medical record.

• Ensure documentation specifies "Salter-Harris Type IV" and "physeal fracture of upper end of radius."
• Verify that the encounter is for the initial treatment of a closed fracture.
• Only use this code when the laterality (left or right arm) is truly unspecified in the medical record.