S82.116N
ICD-10-CMNondisplaced fracture of unspecified tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
This code describes a fracture of the tibial spine that has not shifted out of alignment, specifically when the patient is receiving ongoing care for a severe open fracture (Type IIIA, IIIB, or IIIC) that has failed to heal properly. The tibial spine refers to the intercondylar eminence of the tibia, a critical area for knee stability. "Nonunion" indicates that the bone ends have not united after the expected healing period.
Apply this code when documenting follow-up care for a patient with a previously diagnosed nondisplaced tibial spine fracture, where the initial injury was a severe open fracture. This is appropriate for encounters where the focus is on managing the nonunion, such as during clinic visits for assessment, treatment planning, or monitoring of healing progress.
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