Disp fx of right tibial spine, subs for clos fx w nonunion

This diagnosis code indicates a break in the bony protrusion located on the top of the right tibia, specifically when the broken pieces are not properly aligned. It signifies that the patient is receiving follow-up care for this fracture, and the bone fragments have failed to heal together after a period of time, despite the skin remaining intact over the fracture site.

Apply this code when documenting ongoing treatment for a right tibial spine fracture that was initially displaced, and imaging or clinical assessment confirms nonunion. This is appropriate for subsequent visits where the patient is still being managed for the unhealed fracture, and surgical intervention or other advanced treatments for nonunion are being considered or performed.

• Ensure documentation clearly states "right tibial spine" and "displaced" for initial injury characteristics.
• Confirm "nonunion" is explicitly documented, indicating the fracture has not healed.
• Verify the encounter is for follow-up care, not the initial treatment of the acute fracture.