Nondisp simp suprcndl fx w/o intrcndl fx unsp humer, 7thP

This code describes a supracondylar fracture of the humerus that is not displaced and does not involve the intercondylar region, where the bone has healed in an imperfect alignment (malunion). This specific encounter is for ongoing care of the fracture after initial treatment, with the malunion being a complication.

This code is appropriate for follow-up visits where a patient is being managed for a previously treated simple supracondylar humeral fracture that has healed with malunion. This could include evaluations for pain, limited range of motion, or planning for corrective surgery related to the malunion. It signifies that the fracture is no longer acute but is still under active management due to the healing complication.

• Always ensure documentation clearly states "malunion" and specifies the "subsequent encounter" for this fracture.
• Verify the fracture is explicitly described as "nondisplaced simple supracondylar without intercondylar" and the laterality is "unspecified."
• Do not use this code for initial fracture treatment or for encounters where the fracture is still acute or healing normally.