S82.115Q
ICD-10-CMNondisplaced fracture of left tibial spine, subsequent encounter for open fracture type I or II with malunion
This code signifies a fracture of the left tibial spine that is not displaced, meaning the bone fragments are still in their normal alignment. It specifically applies to a subsequent encounter for a fracture that was initially an open fracture (Type I or II) and has now developed malunion, indicating improper healing with an anatomical deformity.
Use this code when documenting follow-up care for a patient who previously sustained an open fracture of the left tibial spine, and imaging or clinical assessment confirms the fracture has healed in a misaligned position. This would be appropriate for office visits, hospital follow-ups, or physical therapy sessions addressing the malunion.
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