Nondisp commnt fx shaft of l tibia, 7thQ

This code describes a left tibial shaft fracture that is broken into multiple pieces (comminuted) but remains in its normal anatomical alignment (nondisplaced). This specific code is used when the patient is receiving follow-up care for an initial open fracture (where the bone broke through the skin) classified as Type I or II, and the fracture has healed in an imperfect position (malunion).

Apply this code during subsequent encounters for a patient who previously sustained an open comminuted fracture of the left tibial shaft, Type I or II, and is now being treated for complications related to malunion. This could include follow-up appointments for pain management, physical therapy, or evaluation for corrective surgery due to the imperfect healing.

• Ensure documentation clearly specifies "nondisplaced" and "comminuted" for the tibial shaft fracture.
• Verify the original injury was an "open fracture Type I or II" and that the current encounter addresses "malunion."
• Do not use this code for initial encounters or for fractures without malunion.