Nondisp seg fx shaft of r tibia, 7thR

This code describes a previously sustained fracture of the shaft of the right tibia, specifically a nondisplaced segmental type, that is now healing improperly (malunion). The original injury was an open fracture, classified as type IIIA, IIIB, or IIIC, indicating significant soft tissue damage and communication with the external environment.

This code is used for follow-up encounters when a patient with a history of a severe open right tibial shaft fracture (type IIIA, IIIB, or IIIC) presents with evidence of malunion. This typically occurs during post-operative checks, physical therapy, or when evaluating for corrective procedures due to the bone healing in an unsatisfactory position.

• Ensure documentation clearly specifies "malunion" as the complication of healing.
• Verify the original fracture was an open fracture, type IIIA, IIIB, or IIIC, as this is a key component of the code.
• This code is for subsequent encounters; an initial encounter for the fracture would use a different code.