Oth fx upr end r tibia, 7thJ

This code signifies a fracture of the upper portion of the right shin bone, specifically an open fracture (where the bone broke through the skin) of a severe nature (Type IIIA, IIIB, or IIIC). The patient is in a later stage of healing, but the bone union is progressing slower than expected.

Apply this code when documenting a patient encounter for an open fracture of the proximal right tibia that is not healing at the anticipated rate. This is used after the initial treatment phase, when the focus is on managing the delayed bone healing process.

• Ensure documentation specifies an open fracture of the right proximal tibia and indicates delayed healing.
• Verify the fracture type (IIIA, IIIB, or IIIC) is clearly documented.
• This code is for subsequent encounters, not the initial treatment of the fracture.