Fracture of manubrium, subs encntr for fracture w nonunion

This code signifies a fracture of the manubrium, the uppermost part of the sternum, that has not healed properly and is now being treated. It indicates a persistent lack of bone union at a follow-up visit, requiring ongoing medical management. This condition can lead to chronic pain and instability.

Use this code for patients presenting with a previously diagnosed manubrial fracture where imaging and clinical assessment confirm nonunion during a subsequent encounter. This applies to situations where the patient is still receiving active treatment for the nonunion, such as further surgical intervention, casting, or specialized medical management. Do not use for initial fracture diagnosis or for routine follow-up of a healing fracture.

• Ensure documentation clearly states "nonunion" and specifies the manubrium as the fracture site.
• Verify this is a "subsequent encounter," meaning the patient is receiving active treatment for the nonunion, not just routine follow-up after healing.
• Always look for an additional code to describe any associated complications or the specific treatment being rendered for the nonunion.