Oth fx shaft of r tibia, 7thN

This code signifies a fracture in the shaft of the right tibia, which is not a transverse, oblique, spiral, or comminuted fracture. It specifically indicates that this is a follow-up visit for an open fracture (where the bone broke through the skin) classified as Type IIIA, IIIB, or IIIC, and the fracture has failed to heal properly (nonunion).

This code is appropriate for documenting subsequent care for a patient with a previously diagnosed open fracture of the right tibial shaft that has developed nonunion. This would include follow-up appointments, evaluations for surgical intervention to address the nonunion, or ongoing management of the unhealed fracture.

• Ensure documentation clearly specifies "other fracture" of the tibial shaft and confirms nonunion.
• Verify the initial fracture was an open fracture type IIIA, IIIB, or IIIC.
• This code is for subsequent encounters; use an initial encounter code for the first presentation of the fracture.