Nondisp oblique fx shaft of r tibia, 7thR

This code describes a right tibia shaft fracture that is oblique and has not shifted out of alignment, but is now healing incorrectly (malunion). Importantly, this fracture was initially an open fracture, meaning the skin was broken, and it was classified as a severe type (IIIA, IIIB, or IIIC). The patient is currently in a phase of treatment following the initial care of the fracture.

This code is appropriate for follow-up encounters where a patient with a previously diagnosed open oblique fracture of the right tibial shaft (types IIIA, IIIB, or IIIC) is being treated for malunion. This would include visits for assessment, management, or surgical correction of the malunion. It signifies that the fracture is not healing properly and is past the initial acute treatment phase.

• Ensure documentation clearly specifies "malunion" and the "subsequent encounter" status for the fracture.
• Verify the original fracture was indeed an "open fracture" and specifically type IIIA, IIIB, or IIIC, as this impacts the S82.23- subcategory.
• Confirm the fracture is of the "shaft" and "oblique" morphology, and located on the "right tibia."