Sltr-haris Type IV physeal fx right metatarsal, 7thB

This code signifies a specific type of growth plate fracture affecting the right metatarsal bone, where the fracture line extends through the epiphysis, physis, and metaphysis. It indicates an open fracture, meaning the skin and soft tissues have been compromised, exposing the bone to the outside environment. This injury typically occurs in skeletally immature individuals.

Apply this code for initial encounters involving a pediatric or adolescent patient presenting with a Salter-Harris Type IV fracture of the right metatarsal, where the fracture is clearly documented as open. This includes cases where the bone is visible through the skin or there is a deep wound communicating with the fracture site.

• Ensure documentation explicitly states "Salter-Harris Type IV" and "open fracture" for the right metatarsal.
• Verify this is the initial encounter for treatment of this specific injury. Subsequent encounters will require a different seventh character.
• Always code open fractures with an additional external cause code to describe the mechanism of injury.