Nondisp spiral fx shaft of ulna, r arm, 7thQ

This code describes a right ulna shaft fracture that is spiral in nature and has not shifted out of alignment. The patient is in a subsequent phase of care for this injury, which was initially an open fracture classified as Type I or II, and is now complicated by malunion.

Apply this code when documenting follow-up care for a patient with a previously treated open spiral fracture of the right ulnar shaft (Gustilo-Anderson Type I or II) that has healed in an unsatisfactory position. This indicates the fracture has united but with an unacceptable degree of angulation, rotation, or shortening.

• Ensure documentation clearly specifies "right arm" and "ulna shaft" to differentiate from other forearm bones or locations.
• Verify the initial fracture was indeed an open fracture type I or II, and that malunion is explicitly stated or clearly implied in the clinical notes.
• This code requires an additional code to specify the type of malunion, if known and documented.