Sltr-haris Type II physeal fx lower end of right femur, init

This code signifies a specific growth plate fracture affecting the lower portion of the right thigh bone (femur) in a child or adolescent. It's a Salter-Harris Type II injury, meaning the fracture line extends through the growth plate and then angles into the metaphysis (the wider part of the bone shaft adjacent to the growth plate), but does not involve the epiphysis (the end of the bone). This particular code is for the initial treatment of a closed fracture, where the skin remains intact.

Apply this code for a patient presenting with a newly diagnosed Salter-Harris Type II physeal fracture of the distal right femur, confirmed by imaging. This is appropriate when the fracture has not broken through the skin and the patient is receiving initial care, such as reduction and casting. Do not use this code for subsequent encounters or for open fractures.

• Ensure documentation clearly specifies "right femur" and "lower end" (distal) to differentiate from other femoral growth plate fractures.
• Verify the fracture type is explicitly documented as "Salter-Harris Type II" and that it's a "closed" injury.
• Confirm this is the "initial encounter" for treatment of the fracture, not a follow-up visit.