Unsp fx upper end of r tibia, subs for clos fx w nonunion

This code signifies a follow-up visit for a patient who sustained an unspecified fracture of the upper portion of their right shin bone. Crucially, the fracture has not healed properly (nonunion) and the skin over the fracture site remains intact (closed fracture).

Apply this code for subsequent encounters where a patient is being managed for a previously diagnosed, non-healing closed fracture of the proximal right tibia. This includes appointments for monitoring nonunion, discussing treatment options for nonunion, or preparing for surgical intervention to address the nonunion.

• Ensure documentation clearly states "nonunion" and "closed fracture" for the right upper tibia.
• This code requires an "S" initial encounter code (e.g., S82.101A) to have been previously reported.
• Verify laterality (right) and anatomical site (upper end of tibia) are precisely documented.