Nondisp spiral fx shaft of unsp tibia, 7thB

This code describes a break in the main part of the shin bone (tibia) that follows a spiral pattern, without the bone fragments being significantly out of alignment. The skin over the fracture is broken, indicating an open fracture, specifically classified as Type I or Type II according to the Gustilo-Anderson classification. This code is used for the initial treatment phase of the injury.

Use this code for a patient presenting with a newly diagnosed spiral fracture of the tibial shaft where imaging confirms no significant displacement. It is appropriate when there is an associated open wound communicating with the fracture site, classified as Gustilo Type I (clean wound less than 1 cm) or Type II (wound 1-10 cm with moderate soft tissue damage). This code is assigned during the period when the patient is receiving active treatment for the fracture.

• Ensure documentation specifies "nondisplaced" and "spiral" fracture morphology of the tibial shaft.
• Confirm the open fracture type (Gustilo I or II) is clearly documented by the provider.
• This "B" seventh character indicates an initial encounter for active treatment; select a different seventh character for subsequent care or sequelae.