Nondisp spiral fx shaft of l tibia, 7thM

This code describes a left tibia fracture that is spiral in nature, located in the shaft, and has not shifted from its normal alignment. The fracture was initially an open fracture (meaning the skin was broken) of either Type I or Type II severity, and the bone is now failing to heal properly (nonunion).

This code is appropriate for follow-up encounters where a patient is being treated for a previously diagnosed open spiral fracture of the left tibial shaft that is not healing as expected. It signifies ongoing management of the nonunion, rather than the initial injury or routine healing.

• Ensure documentation clearly specifies "nonunion" and the initial open fracture type (I or II).
• Verify the fracture is indeed "nondisplaced" and located in the "shaft" of the "left tibia."
• This code is for subsequent encounters; use an initial encounter code for the first presentation of the fracture.