Unspecified physeal fracture of left calcaneus, init

This code signifies a fracture of the growth plate (physis) in the left heel bone (calcaneus) where the specific type of physeal fracture is not documented. It indicates that this is the first time the patient is receiving treatment for this particular fracture, and the skin over the fracture site remains intact.

This code is appropriate for initial encounters with a patient presenting with a closed physeal fracture of the left calcaneus when the medical record does not specify the Salter-Harris classification or other details of the physeal injury. It would be used for the initial treatment, evaluation, or management of such a fracture.

• Ensure documentation clearly states "left calcaneus" and "physeal fracture" without further specification.
• Confirm the encounter is for the initial treatment of the fracture; subsequent encounters will require a different seventh character.
• Verify the fracture is closed; open fractures have distinct coding.