Nondisp transverse fx shaft of l tibia, 7thR

This code describes a left tibia shaft fracture that runs horizontally across the bone and is not displaced. It specifically applies when the initial injury was an open fracture (meaning the bone broke through the skin) of a severe type (IIIA, IIIB, or IIIC), and the fracture has healed in an imperfect alignment (malunion). This encounter is for ongoing care related to this previously treated fracture with malunion.

Use this code for follow-up visits, rehabilitation, or further surgical intervention for a patient whose left tibia shaft fracture, initially an open type IIIA, IIIB, or IIIC, has healed with malunion. This code is appropriate when the patient is beyond the initial healing phase and is being treated for the consequences of the malunion.

• Requires a seventh character "R" indicating a subsequent encounter for malunion.
• Confirm documentation specifies "nondisplaced," "transverse," "shaft of left tibia," and the original fracture was an "open type IIIA, IIIB, or IIIC."
• Do not use for initial treatment of the fracture or for routine follow-up without evidence of malunion.