Oth physeal fracture of upper end of left tibia, init

This code signifies a fracture affecting the growth plate (physis) at the top portion of the left shin bone, but not specifically classified as a Salter-Harris type I or II. It indicates that the skin over the fracture site remains intact, and this is the first time the patient is receiving treatment for this specific injury.

Use this code for pediatric patients presenting with a closed fracture of the proximal left tibia involving the physis, where the fracture pattern doesn't precisely fit the descriptions for Salter-Harris types I or II. This is appropriate for the initial visit where definitive treatment is planned or initiated.

• Ensure documentation clearly specifies the left tibia and involvement of the physis.
• Verify the fracture is closed; if open, a different code with an "open" indicator would be necessary.
• Confirm this is the patient's initial encounter for this specific injury to justify the "A" seventh character.