Disp fx of epiphysis (separation) (upper) of l femur, init

This code signifies a fracture affecting the growth plate (epiphysis) at the upper end of the left thigh bone, where the bone fragments are no longer in their normal alignment. It specifically indicates that the skin over the fracture site remains intact (closed fracture). This is the initial visit for treatment of this injury.

Apply this code for a patient presenting for the first time with a Salter-Harris type fracture involving the proximal epiphysis of the left femur, where imaging confirms displacement. This would be appropriate for an adolescent or child who has sustained a traumatic injury leading to this specific growth plate separation.

• Verify laterality (left femur) and the specific location (epiphysis, upper) are documented.
• Confirm the fracture is explicitly described as "displaced" and "closed."
• Ensure this is the initial encounter for active treatment of the fracture, not a follow-up.