Displ spiral fx shaft of r fibula, 7thN

This code signifies a right fibular shaft fracture, specifically a spiral type, that is displaced and has failed to heal after an initial treatment. The fracture is an open type, indicating a break in the skin, and is further classified as a severe open fracture (Type IIIA, IIIB, or IIIC) with evidence of nonunion.

This code is appropriate for documenting follow-up care for a patient with a previously treated, displaced spiral fracture of the right fibula shaft that has not united. It is used when the fracture was initially an open fracture of a severe type (IIIA, IIIB, or IIIC) and the current encounter addresses the ongoing nonunion.

• Ensure documentation clearly specifies "nonunion" and the "subsequent encounter" for this specific fracture.
• Verify the original open fracture type (IIIA, IIIB, or IIIC) is documented, as this impacts code selection.
• Confirm the laterality (right fibula) and fracture type (spiral, shaft, displaced) are explicitly stated in the medical record.