Oth fx upr end unsp tibia, 7thM

This code describes a non-healing fracture in the upper part of the shin bone (tibia) that is not otherwise specified, and was initially an open fracture (meaning the bone broke through the skin) of type I or II. This specific code is used when the patient is receiving follow-up care for this nonunion.

Use this code for patients presenting for ongoing management of a previously treated open fracture (Gustilo-Anderson Type I or II) of the proximal tibia that has failed to heal. This applies to situations such as follow-up appointments for cast changes, physical therapy, or surgical planning for the nonunion.

• Ensure documentation specifies "nonunion" and "subsequent encounter" for an open fracture.
• Verify the original fracture was of the upper tibia and classified as an open fracture Type I or II.
• This code is for the unspecified tibia; if laterality (left or right) is known, a more specific code should be used.