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

This code signifies a fracture involving the growth plate (physis) at the lower end of the tibia, specifically a Salter-Harris Type IV injury. This type of fracture extends through the epiphysis, physis, and metaphysis, indicating a more complex injury to the growth plate. The "unspecified" nature means the laterality (left or right) of the tibia is not documented.

This code is appropriate for the initial encounter of a patient presenting with a closed Salter-Harris Type IV fracture of the distal tibia, where the specific side of the injury is not documented. This would typically be used in emergency department or initial orthopedic consultations.

• Ensure documentation clearly states "Salter-Harris Type IV" and "closed fracture."
• Only use this code when laterality (left or right) of the tibia is not specified in the medical record.
• Verify this is the patient's initial encounter for this specific fracture. Subsequent encounters will require a different seventh character.