Unsp fx shaft of r tibia, 7thM

This code describes a situation where a patient has an unconfirmed fracture in the main part of their right shin bone. The fracture is not healing as expected (nonunion), and this encounter is for follow-up care after the initial injury, which was an open fracture where the bone broke through the skin, classified as type I or II.

Use this code for subsequent encounters when a patient presents with a previously diagnosed right tibial shaft fracture that is not uniting, and the original injury was an open fracture of Gustilo-Anderson type I or II. This applies when the specific type of fracture (e.g., transverse, oblique) within the shaft is not documented.

• Ensure documentation clearly states "nonunion" for the right tibial shaft fracture.
• Confirm the initial injury was an open fracture type I or II; otherwise, a different subsequent encounter code is needed.
• Only use when the specific fracture pattern of the shaft is unspecified.