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

This code describes a situation where a patient has a non-displaced fracture of the right tibial spine that is currently healing, but with an unsatisfactory alignment of the bone fragments. The fracture itself was not displaced at the time of injury, but the healing process has resulted in a malunion.

Apply this code when documenting follow-up care for a patient with a previously diagnosed non-displaced right tibial spine fracture that is now exhibiting signs of malunion. This would be used during subsequent visits after the initial treatment, such as for ongoing monitoring, physical therapy, or consideration of corrective procedures.

• Ensure documentation clearly states "nondisplaced" for the initial fracture and "malunion" for the healing outcome.
• Verify the encounter is for follow-up care (subsequent encounter) and not the initial treatment.
• Confirm the fracture is specifically of the right tibial spine and not another part of the tibia or knee.