Displ bicondylar fx r tibia, 7thR

This code signifies a complex fracture involving both condyles of the right tibia, which has healed improperly (malunion). The original injury was an open fracture, meaning the bone broke through the skin, classified as a severe type IIIA, IIIB, or IIIC. This code is used when the patient is receiving follow-up care for this previously treated, but now malunited, fracture.

Apply this code when documenting subsequent encounters for a patient whose right tibial bicondylar open fracture (type IIIA, IIIB, or IIIC) has resulted in malunion. This includes visits for assessment of the malunion, planning for corrective surgery, or managing complications related to the malunion. Do not use for the initial treatment of the fracture or for routine follow-up of a properly healed fracture.

• Ensure documentation clearly states "malunion" and specifies the right tibia and bicondylar involvement.
• Verify the original fracture was an open fracture type IIIA, IIIB, or IIIC as this is a specific requirement.
• This "R" encounter code indicates subsequent care after the initial treatment of the fracture, but for a complication (malunion).