Oth fx upr end l tibia, 7thJ

This code signifies a fracture of the upper portion of the left shin bone, excluding the specific condylar or tuberosity fractures. It indicates that the patient is in a later stage of care for a severe open fracture (where the bone broke through the skin) that is not healing as expected.

Apply this code when documenting follow-up care for a patient with a previously diagnosed severe open fracture of the proximal left tibia that is exhibiting delayed union. This includes situations where the patient is receiving ongoing treatment, such as cast changes, physical therapy, or monitoring for healing progression, and the healing process is prolonged.

• Requires a seventh character "J" to denote subsequent encounter with delayed healing.
• Always sequence this code after the initial open fracture code (S82.192B or S82.192C) if the initial encounter is also being reported.
• Ensure documentation clearly specifies the left tibia, the "other" type of upper end fracture, and the delayed healing of a severe open fracture.