Sltr-haris Type IV physeal fx lower end of right tibia, init

This code signifies a severe growth plate fracture at the bottom of the right shin bone, specifically a Salter-Harris Type IV injury. This type of fracture involves the epiphysis, physis, and metaphysis, indicating a complex break that crosses the growth plate and extends into both the joint and the shaft of the bone.

Apply this code for initial encounters involving a patient presenting with a closed fracture of the distal right tibia that has been definitively diagnosed as a Salter-Harris Type IV injury. This is appropriate for the initial treatment phase, including evaluation, reduction, and casting.

• Ensure documentation clearly specifies "Salter-Harris Type IV" and "lower end of right tibia."
• Confirm the encounter is the "initial encounter" for this specific fracture.
• Verify the fracture is "closed" (skin intact) before using this code.