Nondisplaced spiral fracture of shaft of unsp tibia, sequela

This code signifies a long-term complication or late effect stemming from a spiral fracture of the tibial shaft that was initially nondisplaced. It indicates that the patient is still experiencing issues directly related to the previous injury, even after the acute phase of healing has passed.

Apply this code when documenting a patient presenting with ongoing symptoms, functional limitations, or other sequelae directly attributable to a past nondisplaced spiral fracture of the tibia's shaft. This is appropriate for follow-up visits addressing chronic pain, nonunion, malunion, or other persistent problems from the original injury.

• Always sequence the sequela code first, followed by any additional codes identifying the specific nature of the sequela (e.g., chronic pain, malunion).
• Ensure documentation clearly links the current condition to the previous nondisplaced spiral tibial shaft fracture.
• Verify that the fracture was indeed nondisplaced and involved the shaft of the tibia, and that the laterality is unspecified.