Displ oblique fx shaft of r tibia, 7thQ

This code signifies a right tibia shaft fracture that is oblique in nature and has healed improperly (malunion). The initial injury was an open fracture, classified as Type I or II, indicating a break in the skin with minimal to moderate soft tissue damage. This code is used during a follow-up visit after the initial treatment for the fracture.

This code is appropriate when a patient presents for ongoing care of a previously sustained open oblique fracture of the right tibial shaft, and imaging or clinical assessment confirms malunion. It should be used for subsequent encounters, not the initial treatment of the fracture. This code is also applicable when the malunion is being addressed, such as for surgical correction or continued monitoring.

• Ensure documentation specifies "subsequent encounter" and confirms malunion of an open Type I or II fracture.
• Verify the fracture location is the shaft of the right tibia and the fracture type is oblique.
• Do not use this code for initial fracture treatment or for nonunion, which has a separate code.