Disp fx of l tibial spin, 7thH

This code signifies a fracture of the left tibial spine that is no longer in its anatomical position. It specifically indicates an open fracture, classified as Type I or II, where the bone has broken through the skin, and the healing process is taking longer than expected.

This code is appropriate for follow-up encounters where a patient is being treated for a previously diagnosed displaced open fracture (Type I or II) of the left tibial spine, and the physician notes that the healing is progressing slowly or has been delayed. This would include situations where the patient is undergoing continued conservative management, surgical revision, or monitoring for nonunion.

• Ensure documentation clearly specifies "left" tibial spine and "displaced" nature of the fracture.
• Verify the open fracture type (I or II) and explicit mention of "delayed healing" in the physician's notes for subsequent encounters.
• Do not use for initial encounters or for fractures that are healing normally or with nonunion/malunion (different codes apply for those scenarios).