Fx unsp part of unsp clavicle, subs for fx w malunion

This code describes a clavicle fracture that has not healed correctly, resulting in a malunion, and the patient is being seen for follow-up care related to this complication. The specific location of the fracture on the clavicle is not documented, nor is the side (left or right) specified.

Use this code when a patient presents for a subsequent visit concerning a previously sustained clavicle fracture that has healed in an abnormal position. This applies to situations where the physician is managing the malunion, such as evaluating for pain, limited range of motion, or planning corrective surgery.

• Ensure documentation clearly states "malunion" and that the encounter is for follow-up care of the fracture.
• If the specific part of the clavicle or laterality is known, a more specific code should be used.
• This code requires a 7th character "P" for subsequent encounter for fracture with malunion.