Oth fx upr end r tibia, subs for opn fx type I/2 w malunion

Other fracture of upper end of right tibia, subsequent encounter for open fracture type I or II with malunion

📋Clinical Description

This code signifies a fracture in the upper portion of the right tibia, excluding the condyles, that was initially an open fracture (Type I or II) and has now healed in a misaligned position. It indicates a follow-up visit where the patient is being managed for this complication.

🎯When to Use

Apply this code for subsequent encounters when a patient presents with a malunion of a previously treated open fracture (Type I or II) of the proximal right tibia, excluding condylar involvement. This would be used during ongoing care, rehabilitation, or assessment of the malunion.

💡Coding Tips

Requires a seventh character of "Q" for subsequent encounter with malunion.
Ensure the original fracture was documented as an open fracture, Type I or II.
Distinguish from nonunion (seventh character "K") or routine healing (seventh character "P" or "R").

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S82.191Other fracture of upper end of right tibia

S82.191Q(current)

Crosswalks

733.81ApproxICD-9

Same Category

S82Fracture of lower leg, including ankle S82.0Fracture of patella S82.00Unspecified fracture of patella S82.001Unspecified fracture of right patella S82.001AUnsp fracture of right patella, init for clos fx