Displ spiral fx shaft of l tibia, 7thH

This code signifies a left tibia shaft fracture that is displaced and has a spiral pattern, meaning the fracture line twists around the bone. It specifically indicates an open fracture (Type I or II, where the skin is broken) that is not healing as expected, requiring ongoing medical attention.

Use this code for follow-up encounters with a patient who has previously sustained a displaced spiral open fracture (Type I or II) of the left tibial shaft, and the physician documents delayed healing. This applies when the patient is still receiving active treatment for the fracture, such as cast changes, wound care, or monitoring for nonunion.

• Ensure documentation specifies "left" tibia, "spiral" fracture, "displaced," and "open fracture type I or II."
• Verify that the encounter is for "subsequent care" and explicitly mentions "delayed healing" of the fracture.
• Do not use for initial treatment or for fractures that are healing normally.