Unsp fx right patella, subs for opn fx type I/2 w malunion

This code signifies an unspecified fracture of the right kneecap that is currently being treated for a complication of healing, specifically a malunion. The initial injury was an open fracture, classified as either Type I or Type II, meaning there was a break in the skin communicating with the fracture site. The current encounter addresses the improper alignment or healing of this previously open patellar fracture.

This code is appropriate for encounters where a patient presents with ongoing issues related to a malunited right patella fracture, which was originally an open Type I or Type II injury. This includes follow-up visits for assessment, planning for corrective surgery, or management of symptoms arising from the malunion. It should be used when the initial acute treatment phase is complete, and the focus is on the long-term complication of improper healing.

• Ensure documentation clearly specifies "malunion" as the complication and confirms the initial fracture was an open Type I or II.
• Verify the laterality is "right" and the specific bone involved is the "patella."
• This "Q" seventh character indicates a subsequent encounter for a malunion, not the initial treatment of the fracture.