Displ spiral fx shaft of unsp tibia, 7thD

This code describes a specific type of tibial shaft fracture that is spiral in nature and has shifted out of alignment. The patient is in the healing phase of this injury, and the fracture is being managed non-surgically with expected routine recovery. The specific tibia (left or right) is not documented.

This code is appropriate for follow-up encounters for a patient with a previously diagnosed, non-surgically treated, displaced spiral fracture of the tibial shaft where the laterality is unspecified. It signifies that the fracture is progressing through a normal healing process. Use this code when the patient is seen for cast changes, follow-up X-rays, or clinical assessment of healing progress without complications.

• Ensure documentation specifies "subsequent encounter" and "routine healing" for a closed fracture.
• Confirm the fracture is described as "displaced" and "spiral" of the tibial shaft.
• Only use this code when laterality (left/right) of the tibia is not documented. If laterality is known, a more specific code should be selected.