Displaced transverse fx shaft of right tibia, sequela

This code signifies a long-term complication or late effect stemming from a previously sustained fracture of the shaft of the right tibia, specifically involving a transverse break that was displaced. It indicates that the patient is now experiencing residual issues directly attributable to that past injury, rather than an acute fracture.

Apply this code when documenting conditions such as malunion, nonunion, chronic pain, or functional impairment in the right lower leg that are a direct consequence of a healed or healing displaced transverse tibial shaft fracture. This code is appropriate for follow-up encounters occurring after the initial healing phase of the fracture.

• Always sequence this sequela code first, followed by codes for the specific residual condition(s) (e.g., M84.4 for malunion).
• Ensure documentation clearly links the current condition to the past displaced transverse fracture of the right tibial shaft.
• Do not use this code for acute or active fracture treatment; it is exclusively for late effects.