Oth fx shaft of l tibia, 7thR

This code signifies a malunion of an open fracture involving the shaft of the left tibia, specifically an open fracture classified as Type IIIA, IIIB, or IIIC. Malunion indicates that the fracture has healed in an unsatisfactory position, leading to functional or cosmetic impairment. This particular code is used during a subsequent encounter, meaning the patient is receiving follow-up care for this previously treated injury.

Apply this code when documenting a patient presenting for ongoing management of a malunited open fracture of the left tibial shaft, where the original injury was a severe open fracture (Gustilo-Anderson Type IIIA, IIIB, or IIIC). This would be appropriate for clinic visits, imaging studies, or surgical planning related to correcting the malunion.

• Ensure documentation clearly specifies "malunion" and the "left" tibia.
• Verify the original fracture was an open fracture and its Gustilo-Anderson classification (IIIA, IIIB, or IIIC).
• This code is for subsequent encounters; use an initial encounter code for the initial treatment of the fracture.