Oth fx shaft of left tibia, init for opn fx type I/2

This code signifies a break in the shaft (the long, central part) of the left shin bone, excluding specific types like spiral or transverse fractures. It specifically indicates that the fracture is open, meaning the bone has broken through the skin, and is classified as either Type I or Type II according to the Gustilo-Anderson classification system, representing a lower energy injury with minimal to moderate soft tissue damage. This is the initial encounter for treatment.

Use this code for a patient presenting for the first time with an open fracture of the left tibial shaft that is not otherwise specified as a particular fracture type. This applies when the open nature of the fracture is documented as Gustilo-Anderson Type I or II, indicating a relatively clean wound with minimal contamination.

• Ensure documentation clearly specifies "left tibia" and "shaft" to differentiate from other tibial fracture locations.
• Confirm the "initial encounter" status and the Gustilo-Anderson classification (Type I or II) for open fractures.
• Do not use for closed fractures or open fractures classified as Type III; separate codes exist for those scenarios.