Nondisp transverse fx shaft of r tibia, 7thP

This code signifies a transverse fracture of the shaft of the right tibia that has not shifted from its normal anatomical position, but has healed improperly. The patient is in a subsequent phase of care, indicating ongoing treatment or follow-up for this previously diagnosed and treated fracture. The malunion implies that the bone fragments have united in a deformed position, potentially affecting function.

This code is appropriate for follow-up encounters where a patient is being treated for a malunited, nondisplaced transverse fracture of the right tibial shaft that was initially managed as a closed fracture. This includes scenarios such as monitoring the malunion, planning corrective surgery, or managing complications arising from the malunion.

• Ensure documentation clearly specifies "malunion" and not "nonunion" or "delayed union."
• Verify the fracture is explicitly described as "nondisplaced" and "transverse" of the "shaft" of the "right tibia."
• Confirm this is a subsequent encounter for a closed fracture, not an initial encounter or an open fracture.