S82.114R
ICD-10-CMNondisplaced fracture of right tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
This code describes a previously sustained, non-displaced fracture of the right tibial spine that is now experiencing malunion. The original fracture was an open fracture, classified as type IIIA, IIIB, or IIIC, indicating significant soft tissue damage and contamination. The current encounter is for ongoing management of this healing but improperly aligned fracture.
This code is used when a patient presents for follow-up care of a right tibial spine fracture that was initially an open fracture (type IIIA, IIIB, or IIIC) and has subsequently healed in an unsatisfactory alignment (malunion). This applies to encounters where the malunion is being addressed, monitored, or is a complicating factor in the patient's recovery.
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