Displaced spiral fracture of shaft of left tibia, sequela

This code identifies a long-term complication or residual effect stemming from a previously sustained spiral fracture of the shaft of the left tibia, which was initially displaced. It indicates that the patient is still experiencing issues directly attributable to that specific injury, rather than an acute event. These sequelae can include chronic pain, nonunion, malunion, or functional limitations.

Apply this code when documenting a patient encounter where the primary reason for the visit is a current condition or symptom that is a direct consequence of a healed or resolving displaced spiral fracture of the left tibial shaft. This is appropriate for follow-up care addressing chronic issues related to the fracture, long after the initial acute treatment phase. Do not use for the initial acute injury.

• Always sequence this code after the code(s) for the specific sequela being treated (e.g., chronic pain, nonunion).
• Ensure documentation clearly links the current condition to the prior displaced spiral fracture of the left tibial shaft.
• Verify that the "S" seventh character is appropriate, indicating a sequela, rather than an initial encounter (A), subsequent encounter (D), or other healing phase.