Nondisp bicondylar fx l tibia, 7thH

This code describes a fracture involving both condyles of the left tibia that has not shifted from its anatomical position. It specifically indicates that the fracture was initially an open fracture (meaning the skin was broken) of either Type I or Type II severity, and the patient is now in a phase of treatment where the bone healing is progressing slower than expected.

This code is used for follow-up encounters when a patient with a previously diagnosed nondisplaced bicondylar open fracture (Type I or II) of the left tibia is experiencing delayed union. It applies when the patient is receiving ongoing care, such as cast changes, physical therapy, or monitoring for healing progression, and the healing process is prolonged.

• Ensure documentation clearly specifies "nondisplaced" and "bicondylar" for the left tibia.
• Verify the initial fracture was documented as an "open fracture type I or II" to justify the seventh character 'H'.
• Confirm the encounter is for "delayed healing" and not routine follow-up or nonunion, which would require different seventh characters.