Nondisp seg fx shaft of unsp tibia, 7thQ

This code signifies a segmental fracture of the tibial shaft that is not displaced and is currently experiencing malunion. The initial injury was an open fracture, classified as Type I or II, and the patient is now in a subsequent phase of care where the bone is healing incorrectly.

Use this code for patients presenting for follow-up care of a previously treated open segmental tibial shaft fracture (Type I or II) where imaging or clinical assessment confirms malunion. This applies when the fracture fragments are still in a segmental pattern and are not displaced from their original anatomical position, but the bone is healing in an undesirable alignment.

• Ensure documentation clearly specifies "segmental" and "nondisplaced" for the tibial shaft fracture.
• Verify the initial open fracture was classified as Type I or II to align with the code's specificity.
• Confirm "malunion" is documented as the current healing status, indicating an abnormal or unsatisfactory union of the fracture fragments.