Nondisp spiral fx shaft of l tibia, 7thN

This code describes a follow-up encounter for a patient with a spiral fracture of the shaft of the left tibia that has not healed properly (nonunion) and was initially an open fracture of Gustilo-Anderson type IIIA, IIIB, or IIIC. The fracture fragments are still in their normal anatomical alignment.

Use this code when documenting ongoing care for a patient whose left tibial shaft spiral fracture, initially an open fracture with significant soft tissue damage, has failed to unite. This applies to subsequent visits for management of the nonunion, such as cast changes, wound care, or preparation for revision surgery.

• Ensure documentation specifies "nondisplaced" and "spiral fracture of shaft of left tibia."
• Confirm the original injury was an "open fracture type IIIA, IIIB, or IIIC" and that "nonunion" is present.
• This code is for subsequent encounters; an initial encounter for this specific nonunion would use a different code.