Lateral disloc of proximal end of tibia, unsp knee, subs

This code signifies a lateral displacement of the upper portion of the shin bone, specifically at the knee joint, where the affected knee is not specified. It indicates that the patient is receiving follow-up care for this injury after the initial treatment phase.

Apply this code when documenting subsequent encounters for a patient previously diagnosed and treated for a lateral dislocation of the proximal tibia, and the laterality of the knee was not specified in the medical record. This includes rehabilitation visits, follow-up appointments to monitor healing, or management of complications arising from the initial injury.

• Ensure the documentation clearly states "subsequent encounter" or similar language indicating ongoing care.
• Verify that the dislocation is specifically of the proximal tibia and is lateral in nature.
• Only use this code when the medical record does not specify whether the left or right knee is affected.