Disp fx of med malleolus of r tibia, 7thE

This code describes a fracture of the inner ankle bone (medial malleolus) of the right tibia that is no longer in its correct anatomical position. It specifically indicates that this is a follow-up encounter for an open fracture (where the bone broke through the skin) classified as Type I or II, and the fracture is healing as expected without complications.

Use this code for patients presenting for follow-up care of a previously diagnosed and treated displaced open medial malleolus fracture of the right tibia (Type I or II) that is progressing through routine healing. This would apply during subsequent visits after the initial treatment, such as cast changes, wound checks, or physical therapy evaluations, as long as healing is routine.

• Ensure the documentation specifies "displaced" and "right tibia" for the medial malleolus fracture.
• Verify that the original injury was an "open fracture type I or II" and that the current encounter is for "routine healing."
• Do not use this code for initial encounters or if the fracture healing is complicated or delayed.