Displ seg fx shaft of r tibia, 7thQ

This code describes a situation where a patient has a displaced fracture in the middle section (shaft) of their right tibia, which occurred in multiple pieces (segmental). This specific encounter is for follow-up care of an open fracture (where the bone broke through the skin) classified as Type I or II, and the bone has healed in an incorrect alignment.

Use this code for a patient presenting for ongoing treatment or evaluation of a previously sustained open segmental shaft fracture of the right tibia, specifically when the fracture has healed with a noticeable deformity or misalignment. This applies to follow-up visits after the initial treatment of the open fracture, where malunion is identified or being managed.

• Ensure documentation clearly specifies "displaced," "segmental," and "shaft" for the right tibia.
• Confirm the original fracture was an open Type I or II and that malunion is present.
• This code is for subsequent encounters, not the initial treatment of the acute fracture.