Salter-Harris Type IV physeal fracture of r calcaneus, 7thB

This code signifies a specific type of growth plate fracture (Salter-Harris Type IV) affecting the right heel bone (calcaneus). This particular fracture extends through the growth plate, metaphysis, and epiphysis, indicating a more complex injury. The "open fracture" designation means the skin and soft tissues are compromised, exposing the bone to the outside environment.

Apply this code for initial encounters when documenting a patient presenting with a right calcaneal fracture that clearly involves the growth plate in a Salter-Harris Type IV pattern. This code is appropriate when there is an associated open wound communicating with the fracture site, requiring immediate medical attention and surgical intervention.

• Always confirm the specific Salter-Harris classification and laterality (right vs. left) from the physician's documentation.
• Ensure the documentation explicitly states "open fracture" to justify this specific code, as closed fractures would use a different code.
• This "initial encounter" code is used for the period when the patient is receiving active treatment for the fracture.