Unsp fx shaft of right tibia, subs for clos fx w routn heal

This code indicates an unspecified fracture located in the shaft of the right tibia that is currently undergoing routine healing. The fracture was initially closed, meaning there was no open wound communicating with the fracture site. This code is used during follow-up care after the initial treatment.

Use this code for a patient presenting for a follow-up visit for a previously diagnosed closed fracture of the right tibial shaft, where the healing process is progressing normally and without complications. This applies to subsequent encounters after the initial treatment has been rendered, such as cast changes, physical therapy evaluations, or routine radiographic checks.

• Ensure documentation specifies "right tibia" and "shaft" to support this code.
• The "D" seventh character signifies a subsequent encounter for routine healing; do not use for initial treatment or complicated healing.
• Verify the fracture type is "unspecified" if more specific details (e.g., transverse, oblique) are not documented.