Salter-Harris Type IV physeal fracture of r calcaneus, init

This code signifies a specific growth plate fracture affecting the right heel bone (calcaneus) in a child or adolescent. A Salter-Harris Type IV fracture involves a break that extends through the growth plate, metaphysis, and epiphysis, indicating a more complex injury with potential for growth disturbance. This particular instance refers to the initial treatment of a fracture where the skin remains intact.

Apply this code for the initial encounter when a patient presents with a closed Salter-Harris Type IV fracture of the right calcaneal physis. This would typically be diagnosed via X-ray or other imaging after an acute injury to the heel in a skeletally immature individual. It is appropriate for the initial evaluation, reduction, and casting/splinting of such an injury.

• Ensure documentation clearly specifies "right" calcaneus and "Type IV" Salter-Harris.
• Confirm the fracture is "closed" (skin intact) and this is the "initial encounter" for treatment.
• Distinguish from other Salter-Harris types and open fractures, which have different codes.