Unsp fx upr end unsp tibia, 7thM

This code signifies a fracture of the upper portion of the shin bone (tibia) where the exact location of the break is not specified. It is used when the initial injury was an open fracture (skin broken) of Type I or II, and the bone has failed to heal properly in a subsequent encounter.

Use this code for follow-up care of a patient with a previously diagnosed open tibia fracture (Type I or II) that has not united. This applies when the specific site of the fracture in the upper tibia is not documented, and the patient is presenting for ongoing management of the nonunion.

• Ensure documentation clearly states "nonunion" and "subsequent encounter."
• Verify the original fracture was an open Type I or II; otherwise, a different nonunion code may be appropriate.
• Avoid using this code for initial encounters or for closed fractures.