Displaced spiral fracture of shaft of left tibia, init

This diagnosis describes a fracture occurring in the main shaft of the left shin bone (tibia), where the break follows a spiral pattern and the bone fragments are no longer in their normal alignment. It specifically indicates that this is the first time the patient is receiving active treatment for this particular injury, and the skin over the fracture site remains intact.

Apply this code for a patient presenting with a newly diagnosed spiral fracture of the left tibial shaft that requires initial treatment, such as reduction and casting. This is appropriate for emergency department visits, initial orthopedic consultations, or hospital admissions directly following the injury event.

• Ensure documentation specifies "left" tibia and "shaft" to differentiate from other tibial fracture locations.
• Confirm the fracture is described as "spiral" and "displaced" for accurate code selection.
• The "A" seventh character is crucial for initial encounters for closed fractures; use subsequent characters for follow-up care.