Nondisp spiral fx shaft of r fibula, 7thC

This code signifies a break in the right fibula's shaft, characterized by a spiral fracture pattern where the bone fragments remain in their normal alignment. Crucially, the fracture is an open type IIIA, IIIB, or IIIC, meaning there is a significant wound communicating with the fracture site, indicating high-energy trauma and potential for severe soft tissue damage and contamination.

This code is appropriate for the initial treatment of a patient presenting with a right fibula shaft fracture that is nondisplaced and has an associated open wound classified as Gustilo-Anderson type IIIA, IIIB, or IIIC. It should be used when the patient is receiving active treatment for the fracture.

• Always confirm the laterality (right) and the specific bone (fibula shaft) involved.
• Verify the fracture type (spiral) and displacement status (nondisplaced) from imaging and physician documentation.
• Ensure the open fracture classification (Gustilo-Anderson IIIA, IIIB, or IIIC) is clearly documented, as this significantly impacts code selection.