Nondisp seg fx shaft of l tibia, 7thQ

This code describes a left tibia fracture that involves a segment of the bone shaft, is not displaced, and was initially an open fracture (Type I or II). The current encounter is for follow-up care where the fracture has healed in a misaligned position (malunion).

This code is appropriate for subsequent encounters when a patient with a previously diagnosed open segmental shaft fracture of the left tibia is being treated for a malunion. This indicates that the fracture has united but with an unacceptable degree of angulation, rotation, or shortening.

• Confirm the fracture is specifically of the left tibia shaft and is segmental.
• Verify the initial fracture was an open fracture (Type I or II) and that the current issue is malunion.
• This code is for subsequent encounters; an initial encounter for this specific fracture and malunion would use a different code.