Disp fx of l tibial spin, 7thR

This code signifies a left tibial spine fracture that is displaced and has previously been treated, but has now healed in an unsatisfactory position (malunion). It specifically applies to open fractures initially classified as Type IIIA, IIIB, or IIIC, indicating significant soft tissue damage and contamination.

Use this code for follow-up encounters where a patient with a history of a severe open left tibial spine fracture (Type IIIA, IIIB, or IIIC) is being evaluated or treated for malunion. This would typically occur after initial fracture management and during the rehabilitation or long-term follow-up phase.

• Ensure documentation clearly specifies "malunion" and the initial open fracture type (IIIA, IIIB, or IIIC).
• Verify the fracture is of the left tibial spine and is displaced.
• This is a "subsequent encounter" code, so it should not be used for the initial treatment of the fracture.