Sltr-haris Type II physeal fx upper end of unsp tibia, init

This code describes a specific growth plate fracture (Salter-Harris Type II) affecting the upper part of the shin bone (tibia) in an unspecified leg. It indicates that the fracture is closed (skin intact) and this is the first time the patient is being treated for this injury.

Use this code for initial encounters when a patient presents with a newly diagnosed Salter-Harris Type II fracture of the proximal tibia, confirmed to be a closed fracture. This is appropriate for cases where the fracture extends through the physis and into the metaphysis, but not into the epiphysis.

• Ensure documentation specifies "initial encounter" and "closed fracture" for accurate application.
• Verify the fracture type is explicitly Salter-Harris Type II and located at the upper end of the tibia.
• Confirm laterality (left/right) is not specified in the documentation; if it is, a more specific code should be used.