Unsp fx upr end unsp rad, 7thM

This code signifies a fracture of the upper part of the radius bone in the forearm, where the exact location and type of fracture were not specified at the initial diagnosis. This specific code is used during a follow-up visit for an open fracture (where the skin was broken) of either Type I or Type II, and the bone has failed to heal properly (nonunion).

This code is appropriate when a patient presents for ongoing care of an open radial head or neck fracture that was initially unspecified, and the physician documents that the fracture is not healing as expected. It is used for subsequent encounters after the initial treatment, specifically when nonunion is identified or continues to be managed for an open fracture.

• Ensure documentation clearly states "nonunion" and specifies the encounter as "subsequent" for an open fracture.
• Verify the open fracture type (I or II) is documented, even if the initial fracture was unspecified.
• Do not use for initial encounters or for closed fractures.