Oth fx upr end l tibia, 7thF

This code describes a fracture of the upper portion of the left shin bone (tibia) that is not a condylar or tuberosity fracture. It specifically indicates that the fracture was initially an open fracture of a severe type (IIIA, IIIB, or IIIC) and the patient is now in a subsequent phase of care where the bone is healing routinely.

Use this code when documenting follow-up care for a patient with a left proximal tibia fracture that was initially open and severe, and is now progressing through an expected healing process. This applies to situations such as cast changes, physical therapy evaluations, or routine orthopedic check-ups during the healing period.

• Ensure documentation specifies "left" tibia and "upper end" (proximal) to differentiate from other tibia fracture locations.
• Confirm the initial injury was an open fracture type IIIA, IIIB, or IIIC and that healing is proceeding routinely.
• This code is for subsequent encounters; an initial encounter would use a different seventh character.