Nondisp oblique fx shaft of r tibia, 7thP

This code signifies a follow-up encounter for a right tibia shaft fracture that was oblique and did not involve displacement of the bone fragments. The fracture is now healing, but the bone segments have united in an anatomically incorrect position, indicating malunion. This stage of healing is still considered a closed fracture, meaning the skin remains intact.

Apply this code when a patient presents for ongoing care of a previously diagnosed nondisplaced oblique fracture of the right tibial shaft, and clinical or radiological findings confirm that the bone has healed or is healing with malunion. This is appropriate for subsequent visits after the initial treatment, where the focus is on managing the malunion.

• Ensure documentation clearly states "malunion" and specifies the "right tibia shaft" and "oblique" fracture type.
• Verify that the encounter is for follow-up care, not the initial treatment of the fracture.
• Confirm the fracture was initially "nondisplaced" and remains "closed."