Nondisp spiral fx shaft of l tibia, 7thH

This code describes a specific type of lower leg injury: a fracture of the main part of the left shin bone that is twisted (spiral) and has not shifted out of alignment. It indicates that the fracture was initially open (meaning the skin was broken) and is now being treated during a follow-up visit because it is not healing as quickly as expected.

This code is appropriate for use in subsequent encounters for patients with a previously diagnosed left tibial shaft spiral fracture that was initially classified as an open fracture (Type I or II). It should be selected when the medical record explicitly documents delayed healing of this specific injury.

• Ensure documentation specifies "nondisplaced" and "spiral" fracture of the left tibial shaft.
• Verify that the initial injury was an "open fracture type I or II" and that the current encounter is for "delayed healing."
• Do not use for initial encounters, malunion, nonunion, or routine follow-up without delayed healing.