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As we all know, football season has started again, and it is time to get back in the game. But football is not the only thing we should be thinking about right now. It is time to jump-start your ICD-10 game plan as well. I am certain everyone in the…
A seventh character has been added to some chapters of ICD-10-CM. The meanings of the seventh character vary across chapters and categories, though. The language of each applicable ICD-10-CM category will identify the necessity to use a seventh character. The applicable seventh character is required for all codes within certain…
A seventh character has been added to some chapters of ICD-10-CM. The meanings of the seventh character vary across chapters and categories, though. The language of each applicable ICD-10-CM category will identify the necessity to use a seventh character. The applicable seventh character is required for all codes within certain…
 Tuesday, Sept. 22, 2015 10-10:30 a.m. ET; 7-7:30 a.m. PT   FEATURING Maria T. Bounos RN, MPM, CPC-H, PMC, CSPO; Gloryanne Bryant, AHIMA-Approved ICD-10-CM-PCS Trainer;  Betty Gomez; H. Steven Moffic, MD; Stanley Nachimson; and  Rhonda Taller, MHA      Like sailors watching a storm approaching on the horizon, healthcare professionals…
Podcast Date: 10/2/2012 Where do you think your facility falls with your readiness plan? Number of Response(s) Response Ratio A. Ahead of the game 31 10% B. Right on track 137 43% C. Slightly behind 96 30% D.Way behind 31 10% E.We haven't started yet 22 7% Total Results: 317…
The U.S. healthcare industry has had a sharp focus on ICD-10-CM, in turn publishing a great amount of guidance on the upgraded coding set and its projected impacts. However, the real game-changer is ICD-10-PCS. ICD-10-PCS is a new classification system that replaces the third volume of ICD-9-CM, which is used…
The U.S. healthcare industry has had a sharp focus on ICD-10-CM, in turn publishing a great amount of guidance on the upgraded coding set and its projected impacts. However, the real game-changer is ICD-10-PCS. ICD-10-PCS is a new classification system that replaces the third volume of ICD-9-CM, which is used…
EDITOR’S NOTE: This is the third installment in a three-part series about the author’s encounter with a physician and his staff regarding the clinical documentation of a patient who had suffered a hairline fracture of the left ankle. In this final installment, the author describes the granularity of ICD-10. Granularity…
EDITOR’S NOTE: This is the third installment in a three-part series about the author’s encounter with a physician and his staff regarding the clinical documentation of a patient who had suffered a hairline fracture of the left ankle. In this final installment, the author describes the granularity of ICD-10. Granularity…
When I began writing articles for ICD-10monitor, ICD-10 itself was looming on the horizon – on Oct. 1, 2013, to be specific. Now, as we all know, ICD-10 is being delayed until Oct. 1, 2014, which is still more than two years away. While two years is very little time,…
Now that the Centers for Medicare & Medicaid Services (CMS) has issued the final rule establishing Oct. 1, 2014 as the official date for implementation of ICD-10, physicians, hospitals, and health systems are recommitting to their preparatory efforts – which, perhaps, were dormant during the extended period of ambiguity. As…
EDITOR’S NOTE: On a recent Talk-Ten-Tuesday broadcast, Denny Flint, president of Complete Practice Resources, entertained the radio audience with an original rap song entitled, “Coder’s Paradigm —HIT IT.” In response to numerous requests, we have reprinted his lyrics. Since today’s topic focuses on education, I want to stress the importance…
Small hospitals and provider practices can thank the Centers for Medicare & Medicaid Services (CMS) for developing separate ICD-10 “implementation guides” for them to use. Each guide provides detailed information for planning and executing the ICD-10 transition, and CMS urges providers to use them as a reference “whether you're in…
It took just 30 minutes for four members of the ICD-9-CM Coordination and Maintenance Committee (the Committee) to provide ICD-10 updates at its Sept. 19, 2012, meeting—thanks, in large part, to the partial code freeze now in effect for ICD-9 and ICD-10 and the delayed implementation date for ICD-10 of…
It took just 30 minutes for four members of the ICD-9-CM Coordination and Maintenance Committee (the Committee) to provide ICD-10 updates at its Sept. 19, 2012, meeting—thanks, in large part, to the partial code freeze now in effect for ICD-9 and ICD-10 and the delayed implementation date for ICD-10 of…
Since 2009, many healthcare organizations have worked diligently to plan and execute the revamping of systems and processes for a successful transition to ICD-10. But a successful transition by the healthcare industry at large is far more important than the success of any individual stakeholder or organization. Through many previous…
Podcast Date: 9/25/2012 What modalities are you planning to use to educate all of your staff on ICD-10? Number of Response(s) Response Ratio A. On-line only 13 4% B. Print only 0 0% C. Seminar/ web-cast only 4 1% D. Live on-site only 9 3% E. Combination of the above…
The Centers for Medicare & Medicaid Services (CMS) has announced that Oct. 1, 2014 is the official, albeit delayed, implementation date for ICD-10-CM and ICD-10-PCS. Some healthcare providers didn’t stop their ICD-10 implementation plans back in February, when CMS first announced that there would be a delay – but whether…
The Centers for Medicare & Medicaid Services (CMS) has announced that Oct. 1, 2014 is the official, albeit delayed, implementation date for ICD-10-CM and ICD-10-PCS. Some healthcare providers didn’t stop their ICD-10 implementation plans back in February, when CMS first announced that there would be a delay – but whether…
EDITOR’S NOTE: This is the second in a three-part series about the author’s encounter with a physician and his staff regarding the clinical documentation of a patient who had suffered a hairline fracture of the left ankle. In this installment, Dr. Jones is challenging the office coder. “Listen, it was…
A one-year delay of the implementation of ICD-10-CM and ICD-10-PCS has been approved, pushing the implementation date from Oct. 1, 2013 to Oct. 1, 2014. This provides additional time to become familiar with the ICD-10-CM code set and the additional information and specificity included therein. Available ICD-10 codes will provide…
A one-year delay of the implementation of ICD-10-CM and ICD-10-PCS has been approved, pushing the implementation date from Oct. 1, 2013 to Oct. 1, 2014. This provides additional time to become familiar with the ICD-10-CM code set and the additional information and specificity included therein. Available ICD-10 codes will provide…
EDITOR’S NOTE: The following is a transcription of Dr. David Block’s segment on Talk-Ten-Tuesday. When I was in high school, I was a nerd, and not, how you say, successful with girls. My SATs were great, my GPA was great, and I knew everything worked. I’d see a girl of…
The average salary for a Certified Professional Coder (CPC®) was $47,796 — up nearly $900 from 2011, according to a survey being released today by AAPC. The 2012 AAPC Health Care Survey collected results from nearly 20,000 healthcare professionals, according to an AAPC news release. Another significant finding was that…
Our summer is now complete, as we actually know the implementation date for ICD-10, thanks to the Aug. 24 announcement and publishing of the U.S. Department of Health and Human Services (HHS) final rule establishing Oct. 1, 2014 as the compliance deadline for converting to the ICD-10-CM and ICD-10-PCS coding…
EDITOR’S NOTE: This is the first in a three-part series about the author’s encounter with a physician and his staff regarding the clinical documentation of a patient who had suffered a hairline fracture of the left ankle. The surgeon’s voicemail was straightforward and urgent: “Based on your audit findings and…
Qualedix QA and the North Carolina Healthcare Information and Communications Alliance (NCHICA) are piloting a trading partner certification program and an ICD-10 testing framework for end-to-end testing. This pilot represents a shared work effort involving test data creation, dual coding, testing and trading partner coordination, with clinically accurate ICD-10 test…
It’s clear that the coder staffing companies, recruiters and health information management (HIM) consulting companies are ready for ICD-10, but will you be? The medical records field is listed as a top 10 in-demand healthcare occupation, with faster-than-average projected growth of 18-26 percent through 2016. With the implementation of ICD-10,…
It’s clear that the coder staffing companies, recruiters and health information management (HIM) consulting companies are ready for ICD-10, but will you be? The medical records field is listed as a top 10 in-demand healthcare occupation, with faster-than-average projected growth of 18-26 percent through 2016. With the implementation of ICD-10,…
The comments have been reviewed, the speculation is over, and now we know that the ICD-10 implementation date is Oct. 1, 2014. So, what’s next? How do you proceed from here? What are the different considerations that need to be given regarding a one-year delay? At Blue Cross Blue Shield…
If you haven’t started already, it’s time to get your ICD-10 show on the road. October 2014 will be here before we know it, so physicians, clinical documentation specialists, coding professionals and administrators need to kick it into high gear, now. Here’s the challenge, though: no one can drive this…
ICD-10-PCS, designed for use in U.S. inpatient hospital settings, seems to have many of us scratching our heads as we try and understand how it will affect our current business practices, once implemented. Some providers are hopeful to avoid it altogether! However, ICD-10 will be here before we know it,…
For the last several weeks you’ve heard me railing against politicians, CMS and even the AMA for their parts in the interminable delays associated with ICD-10. Well, the time for rhetoric on both sides is over, me included. Rather than take the Andy Rooney approach and complaining about everything, it’s…
On Aug. 24, the Centers for Medicare & Medicaid Services (CMS) published a final rule setting the compliance deadline for converting to the ICD-10 system of diagnostic and procedural coding to Oct. 1, 2014, a change of plans from the original date of Oct. 1, 2013. The U.S. Department of…
Here’s a scenario: You wake up one morning and look out the window to see that your neighbors all have red grass on their lawns. Must have happened while you were sleeping, right? Then you chat with your neighbors on either side – and the one across the street –…
Editor’s Note: Talk-Ten-Tuesday produced a live three-part series called “ICD-10: Back on Track,” which aired Aug. 28 through Aug. 30. The following touches on Part I, which focuses on getting physicians back on track with ICD-10.
Coding expert to join the neonatal/pediatric workgroup on the ICD-10-CM/PCS conversion of Agency for Healthcare Research and Quality (AHRQ) Quality Indicators™ Wayne, Pa. and Alpharetta, Ga., Aug. 30, 2012—Precyse, a leader in Health Information Management (HIM) technology and services, announces that Cheryl Robbins, RHIT,CCS, Precyse director of remote coding operations,…
EDITOR’S NOTE: This is the second in a two-part series addressing ICD-10 implementation tasks. As I wrote last week, some organizations, I am finding, have not even started the implementation process yet. The other day I actually became aware that one large hospital system in the Midwest just earmarked funds…
The impending adoption of ICD-10 – now set for Oct. 1, 2014, according to the final rule just issued by the U.S. Department of Health and Human Services (HHS) – has stimulated an increased interest by the American healthcare industry in computer-assisted coding (CAC) systems. Everyone is keenly aware of…
The impending adoption of ICD-10 – now set for Oct. 1, 2014, according to the final rule just issued by the U.S. Department of Health and Human Services (HHS) – has stimulated an increased interest by the American healthcare industry in computer-assisted coding (CAC) systems. Everyone is keenly aware of…
Has your organization launched a clinical documentation improvement (CDI) program? Developing a detailed CDI program is an essential component of a successful transition to ICD-10. Providing documentation education prepares clinicians to adjust documentation practices in order to capture greater specificity in patient records, and it prepares other medical professionals for…
I believe in giving credit where credit is due – and in this case, CMS and HHS got it right. I think they deserve a pat on the back and the thanks of the entire healthcare community and country. The reason I say so is that what is most impressive…
Last Friday’s anxiously awaited announcement from the U.S. Department of Health and Human Services (HHS) establishing Oct. 1, 2014 as the compliance date for implementing ICD-10 is poised to be one of the final chapters in a controversial journey that began 22 years ago, in 1990.
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St. Paul, Minn. – Starting tomorrow, Aug. 28 and continuing through Thursday, Aug. 30, Talk-Ten-Tuesday, the popular weekly live Internet radio broadcast produced by ICD10monitor, will offer providers a special three-part series dealing with the implications of the ICD-10 final rule. “The announcement last Friday by the U.S. Department of…
WASHINGTON –- The Department of Health and Human Services (HHS) today announced the final rule that makes the proposed one-year delay—from Oct. 1, 2013, to Oct. 1, 2014—final for the implementation of ICD-10.
“We’re at the mercy of the vendors and payers,” says Lyman Sornberger, executive director of revenue cycle management for the Cleveland Clinic Hospital System, “The Cleveland Clinic can’t drive the change [to ICD-10] without the other players taking it seriously as well, but luckily our payers have been very cooperative.”
ICD-10 is coming! ICD-10 is coming! (With apologies to Paul Revere and his fans…) Unless you’ve been living under a rock, or just started working in healthcare last week, or just didn’t care one way or the other, you know about ICD-10 and all the change – both good and…
EDITOR’S NOTE: This is the first in a two-part series addressing ICD-10 implementation tasks. I find it interesting that many hospitals, physician practices and other healthcare providers just put the brakes on their ICD-10 implementation tasks. Some organizations, I am finding, have not even started the implementation process yet. The…
EDITOR’S NOTE: This is the second in a two-part series addressing ICD-10 training and education matters for providers. Part I of this series focused on the impact and importance of formal project planning, instructional design methodologies and learning styles in an ICD-10 training and education plan. In this installment we…
Every Tuesday, I’m supposed to sound off in this segment on Talk-Ten-Tuesday. So far, I’ve been sounding off in whispers and not with the sound and fury of a so-called expert advocating for providers. At 6 a.m. this morning, the script I originally wrote for this segment went in the…
At the rate the federal government is moving, “2013 is an optimistic expectation” for the implementation of ICD-10, Dr. T.B. Üstün, team coordinator of classification, terminologies, and standards of the Department of Health Statistics and Informatics for the World Health Organization (WHO) in Geneva, Switzerland.  He finds our country’s continued…
At the rate the federal government is moving, “2013 is an optimistic expectation” for the implementation of ICD-10, Dr. T.B. Üstün, team coordinator of classification, terminologies, and standards of the Department of Health Statistics and Informatics for the World Health Organization (WHO) in Geneva, Switzerland.  He finds our country’s continued…
Podcast Date: 8/14/2012 Attendance: 475 What is your opinion on our continued delay and inability to implement I-10? Number of Response(s) Response Ratio A. We should have implemented a long time ago 188 62% B. We needed more time, our health system is more complicated 77 25% C. I don't…
Qualedix QA and the North Carolina Healthcare Information and Communications Alliance (NCHICA) are piloting an end-to-end ICD-10 testing framework and a trading partner certification program. This pilot represents a shared work effort focusing on test data, testing and trading partner coordination, with clinically accurate test data at its core. NCHICA…
On July 10 a proposed rule by the U.S. Department of Health and Human Services (HHS) was published; it was titled Unique Device Identification (UDI) System. The following is a synopsis: A UDI system has the potential to improve the quality of information in medical device adverse events reports, which…
EDITOR’S NOTE This is the first in a two-part series addressing ICD-10 training and education matters for providers. Training is often one the last considerations in major implementation plans, and ICD-10 is no different. By now you probably are aware of CMS-0040-P, the April 9 HHS-issued proposed rule that proposed…
Office visits, medical necessity and ICD-10-CM coding: How do these three things fit together? Of eminent importance, proving the medical necessity of physician services has become the newest and most relevant matter at the spearhead of various federal auditing efforts to recoup reimbursements made to unsuspecting providers. Until recently, the…
“Curiosity” is the coin of the realm these days. Last Wednesday, when NASA’s Curiosity rover was beaming back to Earth 360-degree panorama images of Mars’s Gale Crater, the Centers for Medicare & Medicaid Services (CMS) deposited the ICD-10 final rule at the Office of Management and Budget (OMB) for review.
As we continue to wait for the ICD-10 implementation final rule to be issued by the U.S. Department of Health and Human Services (HHS), it is important for health information management (HIM) directors to stay the course and continue their ICD-10 preparations. This delay provides an opportunity to refocus efforts…
Like an Art Deco streamliner, ladened with hopes, angst and baggage, the ICD-10 final rule pulled into the Office of Management and Budget (OMB) Wednesday, marking the final stop on a long journey before it becomes published in the Federal Register.
Dr. T.B. Üstün, team coordinator of classification, terminologies and standards of the Department of Health Statistics and Informatics for the World Health Organization, is scheduled to participate in the Aug. 14 edition of the popular Talk-Ten-Tuesday weekly Internet broadcast produced by ICD10monitor.
Podcast Date: 8/7/2012 Attendance: 458 Do you feel the US has an advantage with all the professional coding organizations that we have?  Number of Response(s)Response Ratio A. Yes 150 58% B. No 22 8% C. Depends on the individual coder 64 25% D. No opinion 24 9% Total Results: 260…
(It is one week after our previous scene. Everyone knows the CEO is leaving, and not on friendly terms; her office is empty and she is nowhere to be seen. Dr. Worthy has called an emergency meeting at Crossroads Medical Center (CMC) Community Hall for the entire medical staff, plus…
“Wow” is an appropriate exclamation as I reflect on the enthusiasm, energy and sincere admiration among colleagues at the American Health Information Management Association (AHIMA) Assembly on Education (AOE) I attended in late July. I have attended the symposium for the past three years and this year was the best…
I admit it: I’m an Olympics fanatic. I can’t get enough of it, especially with three channels covering everything from table tennis to Dream Team basketball, almost 24–7. I admit something else: for the last year and a half I have lived, eaten and breathed ICD-10. So I can’t help…
I admit it: I’m an Olympics fanatic. I can’t get enough of it, especially with three channels covering everything from table tennis to Dream Team basketball, almost 24–7. I admit something else: for the last year and a half I have lived, eaten and breathed ICD-10. So I can’t help…
Ulcerative colitis is an inflammatory bowel disease affecting only the innermost layer of the colon and rectal regions. It typically starts in the rectum and affects a continuous bowel segment. Ulcerative colitis is reported using codes from Category K51, with the condition classified by the site of the inflammation. One…
One of my favorite places in school was the cadaver lab. If I were not a chiropractic physician, I think I would have become a forensic anthropologist. I never get squeamish around organs of the deceased or dismembered body parts. I always have found the human body to be fascinating.…
Workers in the healthcare industries of other countries have lived through the implementation of an ICD-10 system and so can we. That’s the gist of the advice from three professionals—one from England, one from Australia, and one from the United States who worked in Palestine—who helped to implement the new…
Workers in the healthcare industries of other countries have lived through the implementation of an ICD-10 system and so can we. That’s the gist of the advice from three professionals—one from England, one from Australia, and one from the United States who worked in Palestine—who helped to implement the new…
How productive are your coders? Do your current business processes aid, or impede, their productivity? These are just two of the questions hospital managers may want to investigate now—before it’s time to implement the new ICD-10 coding system. “Look at the percentage of time coders spend actually coding and dropping…
Although the future of ICD-10 in the United States is currently unclear, that certainly is not the case for many other countries around the globe. Not only is ICD-10 being used in more than 100 countries, but many have been using it for more than a decade. Even though many…
In 2010 I was provided an opportunity to work with the Dimensions Healthcare information technology team responsible for developing and implementing the comprehensive health information system (HIS) for the Palestinian National Authority Ministry of Health (MoH) as part of the U.S. Aid Flagship Project. The HIS links financial, administrative, patient…
The Oct. 1, 2014 scheduled implementation of ICD-10-CM will impact the coding process by introducing new codes and different methods of reporting certain diagnoses for patients receiving rehabilitation services. Set to impact rehabilitation providers prior to the implementation date are several changes that do not always involve assignment of an…
The codes for factors influencing health and contact with health services represent reasons for encounters. In ICD-10-CM, these codes are located in Chapter 21 and have the initial alpha character of “Z,” so codes in this chapter eventually may be referred to as “Z-codes” (just as the same supplementary codes…
Currently, it is not uncommon for a hospital or healthcare system to have partial or total ownership of other healthcare entities (such as physician offices and skilled nursing facilities) – so the result is a village of healthcare providers who provide various services in either a single county or multiple…
The postponement of the ICD-10 implementation date has given us the gift of time—time to review additional workflow and processes. The mandated conversion from ICD-9 to ICD-10 will require changes to most facility information technology (IT) systems and will have significant impacts on business processes and the people within these…
We all know that transitioning from the ICD-9 world to the ICD-10 world will increase complexity within our organizations. This increased complexity will become a major work driver as entities strive to achieve compliance. What we sometimes overlook in our preparatory efforts, however, are the inherent opportunities that the ICD-10…
Analysts from the Centers for Medicare & Medicaid Services (CMS) continue to review the public comments received on the proposed implementation delay of ICD-10 system. At this time, it’s unknown when the agency will issue a final rule, but preparations for the new system continue, and 2013 files for the…
The migration from ICD-9 to ICD-10, achieving a revenue-neutral position, or better, is important for providers and other involved parties. Understanding that the transition in itself should not impact reimbursement significantly, what are the most effective messages administrators can use to engage and motivate physicians to take an interest in…
For most people who live and breathe health IT policy in Washington, D.C., the week of Feb. 13 was an interesting one. In speaking to the American Medical Association Advocacy Conference that day, acting Centers for Medicare & Medicaid (CMS) Administrator Marilyn Tavenner said that CMS “would re-examine the time…
In a previous article titled ICD-10: the Axis of Classification, we had indicated that one method for preparing your key stakeholders for the transition to ICD-10 is to break ICD-10-CM down into its basic components: chapters and axes of classification. This article will continue that theme in reviewing changes we…
With implementation of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) still coming and the final date yet to be determined, there is a lot of anxiety in the healthcare industry about this and questions regarding…
Jumping over ICD-10 and going instead to ICD-11 would be “like buying a bike but you don’t know how to ride one. If you don’t have the fundamentals on how to do that, I’m not sure how you could implement I-11.”
[The entire CMC board is meeting in the Executive Conference Room at CMC. There are 12 members around a glass conference table, all studying the CEO’s Letter of Resignation. We see an enraged Flange Ductworthy, the young, successful, and very vocal HVAC contractor, at his seat. Orell Worthy, MD, the…
The postponement of the ICD-10 implementation date has given us the gift of time—time to review additional workflow and processes. The mandated conversion from ICD-9 to ICD-10 will require changes to most facility information technology (IT) systems and will have significant impacts on business processes and the people within these…
More than ever, the burning question remains “Why ICD-10?” It feels like heartburn for most, but the increase in hesitation to adopt this new system appears to be directly related to the announcement of the impending October 2014 delay in the implementation date. The reason for ICD-10 is more than…
More than ever, the burning question remains “Why ICD-10?” It feels like heartburn for most, but the increase in hesitation to adopt this new system appears to be directly related to the announcement of the impending October 2014 delay in the implementation date. The reason for ICD-10 is more than…
If you’re one of the eight people who reads my article each month, you may have concluded one or more of the following: I’m cynical I’m anti-CMS I’m anti-ICD-10 I don’t know jack All of the above, and more. If you came to any of those conclusions, I would confess…
If you’re one of the eight people who reads my article each month, you may have concluded one or more of the following: I’m cynical I’m anti-CMS I’m anti-ICD-10 I don’t know jack All of the above, and more. If you came to any of those conclusions, I would confess…
“We’re panicky.” That statement was the start of an email query I received from an anxiety-ridden office manager at a solo practitioner neurology office in the deep South. This high importance-flagged query was concerned with how the provider, running a small, barely-staying-afloat office, would be able to foot the bill…
As we continue to wait on the final ICD-10 implementation rule to be issued by the Department of Health & Human Services (HHS), it is important for HIM directors to stay the course and continue their ICD-10 preparations. This delay provides them the opportunity to refocus their efforts and get…
Download Media File Ensure your organization’s ICD-10 readiness with powerful solutions from Wolters Kluwer Law & Business.Whether you require a search tool, e-codebooks, regulatory compliance resources, batch translation, reimbursement analysis, or a way to manage implementation across your entire enterprise, Wolters Kluwer Law & Business provides the comprehensive tools, resources…
Any possible delay of the implementation of the ICD-10-CM coding system is “unacceptable,” said Dan Rode, vice president, advocacy and policy, American Health Information Management Association (AHIMA), during his testimony at the June 20, 2012, meeting, of the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards.
(Scene: The office of LaDonna Emobilli, MBA, chief executive officer of CMC. There is a substantially sized 19th-century Renaissance Revival desk with a matching chair dominating the office, with a mismatched credenza to the side. There are two simple wooden chairs in front of the desk. There are the usual…
According to the Centers for Disease Control (CDC), in the U.S. about one in every 33 babies is born with a congenital anomaly (also called birth defects), and these babies are at a greater risk for illness and long-term disability than babies born without birth defects. Currently, congenital heart defects…
Physeal fractures, also referred to as growth plate fractures, are fractures that occur in the distal or proximal physis of the long bones, and they are of particular concern when they occur in children and adolescents who have not finished growing. Until full growth is attained, the growth plates are…