Displ bicondylar fx unsp tibia, 7thH

This code signifies a displaced fracture involving both condyles of the tibia, which has been surgically opened (Type I or II) and is now in a phase of delayed healing. It indicates a follow-up encounter for a complex tibial plateau fracture that is not progressing as expected.

Use this code for subsequent encounters with patients who have previously undergone open reduction and internal fixation for a bicondylar tibial fracture, and the fracture site is demonstrating delayed union or non-union. This applies when the initial injury involved an open fracture (Gustilo-Anderson Type I or II) and the patient is still under active management for healing.

• Ensure documentation clearly specifies "displaced bicondylar fracture" and "unspecified tibia" if laterality is not documented.
• Verify the encounter is for "subsequent" care and that "delayed healing" is explicitly noted in the physician's assessment.
• Confirm the original fracture was an "open fracture Type I or II" to align with the code's specificity.