Nondisp fx of r tibial spine, subs for clos fx w nonunion

This code signifies a fracture of the right tibial spine that is not displaced, meaning the bone fragments remain in their anatomical position. The "subsequent encounter" indicates the patient is receiving follow-up care for this fracture, and "nonunion" specifies that the bone has failed to heal completely after a normal healing period.

Use this code when documenting ongoing treatment for a patient with a previously diagnosed, nondisplaced fracture of the right tibial spine who is experiencing a nonunion. This would apply to scenarios such as follow-up appointments, imaging studies confirming nonunion, or discussions regarding further intervention (e.g., bone grafting, revision surgery) for the unhealed fracture.

• Ensure documentation clearly states "nondisplaced" and specifies the "right" side.
• Verify that the encounter is for follow-up care of a closed fracture, not an initial injury or an open fracture.
• Confirm that the physician's assessment explicitly mentions "nonunion" as the reason for the subsequent encounter.