S82.115E
ICD-10-CMNondisplaced fracture of left tibial spine, subsequent encounter for open fracture type I or II with routine healing
This code describes a fracture of the left tibial spine that is not displaced, meaning the bone fragments remain in their normal anatomical alignment. This specific encounter is for an open fracture, classified as Type I or II, indicating a break in the skin that communicates with the fracture, and the fracture is currently healing routinely without complications.
Use this code for follow-up visits where a patient is being monitored for a previously diagnosed nondisplaced open fracture (Type I or II) of the left tibial spine. This applies when the fracture is progressing as expected towards healing. It would be appropriate for cast changes, wound checks, or physical therapy sessions during the routine healing phase.
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