Nondisp seg fx shaft of r tibia, 7thM

This code signifies a complex injury involving a right tibia shaft fracture that has broken into at least two distinct segments, but the bone fragments remain in their anatomical alignment. The fracture was initially open, meaning the skin was broken, and is now experiencing a nonunion, indicating a failure of the bone to heal adequately after a previous treatment.

This code is appropriate for documenting follow-up care for a patient with a previously treated open segmental fracture of the right tibial shaft (Type I or II) who is now presenting with evidence of nonunion. This would include scenarios such as continued pain, instability, or radiographic findings confirming the lack of bone healing.

• Confirm the fracture is specifically of the right tibia shaft and is segmental and nondisplaced.
• Verify the initial fracture was an open fracture, specifically Type I or II, and that the current encounter addresses a nonunion.
• Always use in conjunction with an external cause code if applicable, and any codes for associated complications or treatments.