Nondisp spiral fx shaft of unsp tibia, 7thR

Nondisplaced spiral fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

📋Clinical Description

This code describes a tibia shaft fracture that is spiral in nature, has not shifted out of alignment, and the specific tibia (left or right) is not documented. It is used when the patient is receiving follow-up care for an open fracture (types IIIA, IIIB, or IIIC) that has healed incorrectly.

🎯When to Use

This code is appropriate for subsequent encounters where a patient with a previously treated open spiral tibia shaft fracture (type IIIA, IIIB, or IIIC) presents with evidence of malunion. This includes scenarios where the provider is monitoring the healing process of a malunited fracture or planning interventions for the malunion.

💡Coding Tips

Ensure documentation specifies "unspecified tibia" and "subsequent encounter" for an open fracture with malunion.
Verify the fracture type (IIIA, IIIB, or IIIC) was previously documented for the initial open fracture.
Do not use for initial encounters or for fractures without malunion.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S82.246Nondisplaced spiral fracture of shaft of unspecified tibia

S82.246R(current)

Crosswalks

733.81ApproxICD-9

Same Category

S82Fracture of lower leg, including ankle S82.0Fracture of patella S82.00Unspecified fracture of patella S82.001Unspecified fracture of right patella S82.001AUnsp fracture of right patella, init for clos fx