Displ spiral fx shaft of r fibula, 7thR

This code describes a specific type of fracture involving the shaft of the right fibula, where the bone is broken in a spiral pattern and the broken ends are not properly aligned. It indicates that the fracture was initially an open fracture (meaning the skin was broken) of a severe type (IIIA, IIIB, or IIIC) and has subsequently healed in a misaligned position.

This code is used when a patient presents for follow-up care, rehabilitation, or further treatment of a previously sustained open spiral fracture of the right fibula shaft that has resulted in malunion. It is appropriate for encounters where the malunion is being addressed or monitored, and the initial injury was a severe open fracture.

• Ensure documentation clearly specifies "malunion" and not "nonunion" or "delayed union."
• Verify the initial fracture was an open fracture of type IIIA, IIIB, or IIIC.
• Confirm the encounter is for subsequent care related to the malunion, not the initial injury.