Nondisp fx of r tibial spin, 7thN

This code describes a right tibial spine fracture that was initially open (exposed to the outside environment) and is now complicated by nonunion, meaning the bone fragments have failed to heal together. The fracture was nondisplaced, indicating the bone fragments remained in their normal anatomical alignment despite the break. This specific code is used for follow-up care related to this unhealed, severe open fracture.

Use this code for a patient presenting for ongoing management of a previously diagnosed right tibial spine fracture that has not united. This applies to subsequent encounters where the focus is on addressing the nonunion of an open fracture initially classified as type IIIA, IIIB, or IIIC. Examples include follow-up appointments for bone grafting, revision surgery, or monitoring of the nonunion.

• Ensure documentation clearly states "nonunion" and specifies the "right tibial spine."
• Verify the original fracture was an "open fracture type IIIA, IIIB, or IIIC" and that this is a subsequent encounter.
• Do not use this code for initial fracture treatment or for closed fractures.