Displaced comminuted fracture of shaft of right tibia, init

This code signifies a complex break in the main part of the right shin bone, where the bone is shattered into multiple pieces and the fragments are not properly aligned. It specifically indicates that the fracture is being treated for the first time and the skin remains intact over the injury site.

This code is appropriate for initial encounters when a patient presents with a comminuted, displaced fracture of the right tibial shaft that has not broken through the skin. It would be used for the initial diagnosis and treatment planning, such as casting or surgical repair.

• Ensure documentation specifies "displaced" and "comminuted" for the tibial shaft.
• Verify laterality (right) and encounter type (initial) are clearly documented.
• Confirm the fracture is explicitly noted as "closed" to differentiate from open fractures.