Displaced comminuted fx shaft of right tibia, sequela

This code signifies a past, resolved injury to the shaft of the right tibia that was characterized by multiple bone fragments and displacement. The "sequela" designation indicates that the patient is currently experiencing a long-term complication or residual effect directly attributable to this previous fracture.

This code is appropriate when a patient presents with a chronic condition, deformity, nonunion, malunion, or other lasting issue stemming from a comminuted and displaced fracture of the right tibial shaft that has already healed or is in the late stages of healing. It should be used for follow-up encounters addressing these persistent problems, not for the initial acute injury.

• Always assign an additional code(s) to specify the nature of the sequela (e.g., malunion, nonunion, chronic pain, deformity).
• Ensure documentation clearly links the current condition to the previous displaced comminuted right tibial shaft fracture.
• Do not use this code for acute or active treatment of the initial fracture; use the appropriate acute fracture code for those encounters.