S82.114C
ICD-10-CMNondisplaced fracture of right tibial spine, initial encounter for open fracture type IIIA, IIIB, or IIIC
This diagnosis code signifies a break in the bony protrusion on the top of the right tibia (shin bone) that has not shifted from its normal anatomical position. Importantly, the fracture is exposed to the outside environment due to significant soft tissue damage, categorized as an open fracture type IIIA, IIIB, or IIIC, and this is the patient's initial treatment for this injury.
Use this code for a patient presenting with a newly diagnosed right tibial spine fracture where imaging confirms no displacement, and clinical examination reveals an open wound communicating with the fracture site, consistent with Gustilo-Anderson classification types IIIA, IIIB, or IIIC. This code is appropriate for the initial surgical or non-surgical management of such an injury.
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