Displ seg fx shaft of l tibia, 7thR

This code describes a left tibia shaft fracture that has broken into multiple segments and is no longer in its normal anatomical alignment. It specifically indicates that the fracture is an open fracture (meaning the bone broke through the skin) of a severe type (IIIA, IIIB, or IIIC) and has healed incorrectly, resulting in a malunion. This encounter is for follow-up care after the initial treatment.

Use this code for a patient presenting for ongoing management of a previously treated, severely open, multi-segmental fracture of the left tibial shaft that has healed in a misaligned position. This would apply during subsequent visits for complications related to the malunion, such as pain, functional impairment, or planning for corrective surgery.

• Confirm documentation specifies "left" tibia and "shaft" involvement.
• Ensure the encounter is for follow-up care, not the initial treatment or active healing.
• Verify the open fracture type (IIIA, IIIB, or IIIC) and the presence of malunion are clearly documented.