Displ spiral fx shaft of l tibia, 7thM

This code signifies a left tibial shaft fracture that is spiral in nature, displaced, and has failed to heal (nonunion). It specifically applies to open fractures initially classified as Type I or II, indicating a break in the skin with minimal to moderate soft tissue damage. The "subsequent encounter" aspect means the patient is receiving follow-up care for this ongoing healing complication.

This code is appropriate when documenting ongoing treatment for a patient with a previously diagnosed open spiral fracture of the left tibial shaft (Type I or II) that has not united. This includes scenarios such as follow-up appointments, surgical interventions for nonunion, or management of complications related to the nonunion.

• Verify the fracture is specifically of the left tibia, spiral, displaced, and the initial injury was an open fracture Type I or II.
• Ensure the documentation clearly states "nonunion" as the reason for the subsequent encounter.
• Do not use this code for initial fracture treatment or for fractures that are healing normally.