Nondisp seg fx shaft of r tibia, 7thE

This code describes a specific type of tibia fracture involving the shaft of the right lower leg. It indicates that the bone is broken in at least two places (segmental) but the bone fragments are still in their normal anatomical alignment (nondisplaced). Furthermore, it specifies that this is an open fracture, meaning the skin was broken, and it is currently in a routine healing phase during a follow-up visit.

Use this code for follow-up encounters where a patient is receiving ongoing care for a previously diagnosed nondisplaced segmental open fracture (Type I or II) of the right tibial shaft. This applies when the fracture is progressing as expected without complications, such as infection or delayed union. It is appropriate for visits focused on wound care, cast changes, or physical therapy during the routine healing period.

• Ensure documentation clearly specifies "nondisplaced" and "segmental" for the right tibia shaft.
• Verify the fracture was initially an "open fracture type I or II" and that the current encounter is for "subsequent care with routine healing."
• Do not use this code for initial treatment or if complications like delayed union or nonunion are present.