Oth physeal fracture of upper end of right tibia, init

This code signifies a fracture of the growth plate (physis) at the top portion of the right shin bone (tibia) that is not further specified as Salter-Harris type I, II, III, or IV. It indicates that the skin over the fracture is intact, and it is the initial treatment encounter for this injury.

This code is appropriate for documenting an acute, closed fracture involving the growth plate at the proximal end of the right tibia when the specific Salter-Harris classification is not yet determined or documented by the provider. It should be used for the initial visit where the fracture is diagnosed and treatment begins.

• Ensure documentation specifies "right tibia" and "upper end" or "proximal" to support laterality and location.
• Confirm the encounter is for the initial treatment of a closed fracture; subsequent encounters or open fractures will require different seventh characters.
• If a specific Salter-Harris classification (e.g., Salter-Harris Type I, II, III, or IV) is documented, a more specific code should be selected.