Disp fx of unsp tibial spin, 7thQ

This code describes a situation where a fracture of an unspecified tibial spine, which was initially an open fracture (Type I or II), has healed incorrectly, resulting in a malunion. The fracture fragment is also displaced from its normal anatomical position.

Apply this code when documenting follow-up care for a patient who previously sustained an open tibial spine fracture (Gustilo-Anderson Type I or II) that has now healed in a misaligned or deformed manner. This is used for subsequent encounters after the initial treatment of the fracture.

• Ensure documentation specifies an open fracture type I or II for the initial injury.
• Confirm that the current encounter is for follow-up care of a malunion, not initial treatment or routine healing.
• Verify that the fracture is explicitly described as displaced.