Displaced spiral fracture of shaft of unsp tibia, sequela

This code describes a long-term complication or residual effect stemming from a previously sustained spiral fracture of the tibial shaft. The fracture, which involves a twisting break along the bone, is currently displaced, meaning the bone fragments are not properly aligned. The specific tibia (left or right) is not documented.

Apply this code when documenting a patient presenting with a sequela (e.g., malunion, nonunion, chronic pain, deformity) directly attributable to an old, healed, or currently healing spiral fracture of the tibial shaft. This code is appropriate when the laterality of the tibia is not specified in the medical record.

• Requires a seventh character "S" to indicate sequela, meaning the initial injury has already occurred and this is a residual condition.
• Do not use for acute or initial encounters of a tibial shaft fracture; those require different seventh characters.
• Ensure documentation clearly links the current condition to a past spiral fracture of the tibial shaft and specifies displacement.