Displ transverse fx shaft of r tibia, 7thQ

This code signifies a right tibia fracture that occurred in the middle portion of the bone, with the broken ends no longer properly aligned. It specifically indicates that the fracture was initially an open fracture (meaning the bone broke through the skin or there was a wound communicating with the fracture site) of either Type I or Type II, and that the bone has healed in a misaligned position.

This code is appropriate for documenting follow-up care for a patient who previously sustained an open transverse fracture of the right tibial shaft, where imaging confirms malunion. It is used when the patient is receiving ongoing treatment or evaluation for the consequences of this improperly healed fracture.

• Ensure documentation clearly specifies "right" tibia and "transverse" fracture.
• Verify that the original fracture was an "open fracture type I or II" and that "malunion" is explicitly stated or clearly implied by clinical findings.
• This code is for subsequent encounters; an initial encounter for the malunion would typically use a different code.