Nondisp spiral fx shaft of r tibia, 7thR

This code signifies a non-displaced spiral fracture located in the shaft of the right tibia. It specifically indicates that this is a subsequent encounter for an open fracture, classified as type IIIA, IIIB, or IIIC, and has unfortunately resulted in malunion.

Use this code when documenting follow-up care for a patient who previously sustained a severe open spiral fracture of the right tibia shaft (Gustilo-Anderson type IIIA, IIIB, or IIIC) and the fracture has healed in an unsatisfactory alignment. This code is appropriate for encounters where the malunion is being addressed or monitored.

• Ensure documentation clearly specifies "subsequent encounter" and the presence of "malunion."
• Verify the original fracture was an open fracture of Gustilo-Anderson type IIIA, IIIB, or IIIC.
• Confirm the fracture is non-displaced and located in the shaft of the right tibia.