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

This code describes a right tibial spine fracture that was initially displaced and has since healed in an unsatisfactory alignment (malunion). The patient is currently in a subsequent phase of care for this closed fracture.

Apply this code when a patient presents for follow-up care, rehabilitation, or evaluation of complications related to a previously treated right tibial spine fracture that has healed with malunion. This is appropriate when the fracture is no longer acute and the primary treatment for the initial fracture has concluded.

• Ensure documentation specifies "right" tibial spine and "displaced" fracture initially.
• Confirm the encounter is "subsequent" and the fracture is "closed" with evidence of "malunion."
• Do not use for initial treatment or for nonunion; specific codes exist for those scenarios.