Displ transverse fx shaft of unsp tibia, 7thR

This code signifies a previously treated fracture of the mid-shaft of the tibia that has not healed correctly, resulting in a malunion. The original injury was an open fracture, classified as Type IIIA, IIIB, or IIIC, indicating significant soft tissue damage and bone exposure. This specific code is used during a follow-up encounter for this complicated healing process.

Use this code when documenting a subsequent visit for a patient whose transverse tibial shaft fracture, initially an open Type IIIA, IIIB, or IIIC injury, has healed in an unsatisfactory alignment. This applies to ongoing management, assessment of the malunion, or planning for corrective procedures. It indicates that the malunion is a current clinical issue being addressed.

• Ensure documentation clearly specifies "malunion" and the "subsequent encounter" status.
• Verify the original open fracture type (IIIA, IIIB, or IIIC) is documented or can be inferred from prior records.
• Do not use for initial treatment of the fracture or for nonunion; a malunion implies some degree of healing, albeit incorrect.