Nondisp seg fx shaft of unsp tibia, 7thE

This code signifies a follow-up encounter for a tibia fracture that involves a segment of the shaft, is not displaced, and occurred in an open manner (Type I or II). At this stage, the fracture is healing routinely without complications. The specific tibia (left or right) is not identified.

Apply this code for subsequent encounters when a patient with a previously diagnosed open segmental tibia shaft fracture (Type I or II) is presenting for follow-up care and the physician documents routine healing. This would typically be used after initial treatment and during the period of expected recovery.

• Ensure documentation specifies an "open" fracture type I or II and "segmental" involvement of the tibia shaft.
• Verify that the encounter is "subsequent" and that "routine healing" is explicitly noted.
• Confirm that the laterality of the tibia is not specified in the medical record; otherwise, a more specific code should be used.