Sltr-haris Type I physeal fx upper end of right femur, init

This code signifies a fracture affecting the growth plate (physis) at the upper end of the right femur, specifically a Salter-Harris Type I injury. This type of fracture involves a separation of the physis from the metaphysis without a fracture through the bone itself. The "initial encounter" designation indicates that the patient is receiving active treatment for this closed fracture.

Use this code for patients presenting with a newly diagnosed Salter-Harris Type I physeal fracture of the proximal right femur. This applies when the fracture is closed (skin intact) and the patient is undergoing their initial treatment, such as reduction, casting, or other definitive management. It is appropriate for the first visit where the fracture is addressed.

• Ensure the documentation clearly specifies a Salter-Harris Type I fracture and the upper end of the right femur.
• Verify that the encounter is indeed the initial treatment for a closed fracture; subsequent encounters or open fractures will require different codes.
• Always review the full medical record to confirm laterality, fracture type, and encounter type for accurate coding.