Nondisp spiral fx shaft of r tibia, 7thE

This code describes a specific type of lower leg injury: a spiral fracture of the shaft of the right tibia that has not shifted out of alignment. It indicates that the fracture was an open fracture (meaning the skin was broken) of either Type I or Type II, and the patient is now in a subsequent phase of care with the fracture healing routinely.

This code is used for follow-up encounters when a patient with a previously diagnosed nondisplaced spiral open fracture (Type I or II) of the right tibial shaft is undergoing routine healing. It signifies that the initial acute treatment has been rendered and the focus is now on monitoring the healing process.

• Ensure documentation specifies "nondisplaced" and "spiral fracture of shaft" of the right tibia.
• Confirm the original injury was an "open fracture type I or II" and the current encounter is for "routine healing."
• Do not use for initial encounters, nonunion, malunion, or delayed healing.