Nondisp transverse fracture of shaft of right tibia, sequela

This code indicates a past injury involving a break across the shaft of the right tibia that did not result in bone displacement. The "sequela" designation signifies that the patient is currently experiencing a complication or residual effect directly related to this old fracture, even though the fracture itself has healed.

This code is appropriate for documenting ongoing issues such as chronic pain, stiffness, limited range of motion, malunion, or nonunion that are a direct consequence of a previously sustained, nondisplaced transverse fracture of the right tibial shaft. It should be used when the acute phase of the fracture has passed, and the patient is being treated for a long-term complication.

• Always ensure documentation clearly links the current symptom or condition to the old fracture.
• Do not use this code for the initial treatment of the acute fracture.
• A secondary code for the specific sequela (e.g., chronic pain, malunion) should also be reported.