S82.255E
ICD-10-CMNondisplaced comminuted fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with routine healing
This code describes a fracture of the main part of the left lower leg bone that is broken into multiple pieces but remains in its normal anatomical alignment. It specifically indicates that the skin was broken, exposing the bone (an open fracture of Gustilo type I or II), and the patient is now in a follow-up phase where the fracture is healing as expected.
This code is appropriate for documenting subsequent encounters for patients with a previously diagnosed open comminuted tibial shaft fracture (left side) that was classified as Gustilo type I or II. It should be used when the fracture is progressing through a normal healing process without complications.
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