Other fracture of shaft of unspecified tibia, sequela

This code signifies a fracture affecting the main body (shaft) of the tibia, the larger lower leg bone, where the specific type of fracture is not otherwise classified. The "sequela" designation indicates that this code is used for complications or conditions arising directly from a previous, acute tibial shaft fracture, after the initial healing period has passed.

Apply this code when documenting long-term effects, complications, or conditions directly attributable to a past fracture of the tibial shaft, such as malunion, nonunion, chronic pain, or deformity. This code is appropriate when the acute phase of the fracture has resolved, and the patient is presenting for treatment of these residual issues.

• Always ensure documentation clearly links the current condition to a previously healed or resolved tibial shaft fracture.
• Do not use this code for acute fractures; instead, select an appropriate acute fracture code.
• A seventh character of "S" (sequela) is mandatory for this code, indicating the long-term nature of the condition.