Nondisp fx of right tibial spine, init for opn fx type I/2

This code signifies a break in the right tibial spine that has not shifted from its normal anatomical position. The fracture is considered open, meaning there is a wound communicating with the fracture site, classified as either Type I (minimal skin damage) or Type II (moderate skin damage with some muscle contusion). This code is used for the initial treatment of such an injury.

Apply this code when documenting the first encounter for a patient presenting with a nondisplaced fracture of the right tibial spine that is also an open fracture of Gustilo-Anderson Type I or II. This would typically be used in emergency department settings, initial orthopedic consultations, or during the initial hospitalization for definitive treatment.

• Ensure documentation clearly specifies "nondisplaced" and "right tibial spine" to support this code.
• Verify the "open fracture" classification (Type I or II) is explicitly stated or clearly inferable from the clinical notes.
• This code is only for the initial encounter; subsequent care for the same injury will require a different encounter character.