S82.115R
ICD-10-CMNondisplaced fracture of left tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
This code describes a left tibial spine fracture that is not displaced, meaning the bone fragments are still in their normal alignment. It specifically indicates that this is a subsequent encounter for an open fracture (where the bone broke through the skin) classified as type IIIA, IIIB, or IIIC, and that the fracture is now healing incorrectly, resulting in malunion.
Use this code when a patient presents for follow-up care of a previously treated open fracture of the left tibial spine, and imaging or clinical assessment confirms the fracture is nondisplaced but has healed in a misaligned position. This applies to ongoing management of the malunion, such as planning for corrective surgery or monitoring its impact.
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