Disp fx of med malleolus of r tibia, 7thF

Displaced fracture of medial malleolus of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

AIClinical Context

Clinical Description

This code signifies a displaced fracture of the medial malleolus in the right ankle, specifically when the patient is in the subsequent phase of healing for an open fracture classified as Type IIIA, IIIB, or IIIC. The fracture is progressing with expected routine healing.

When to Use

This code is appropriate for follow-up encounters where a patient with a previously diagnosed and treated open, displaced medial malleolus fracture of the right tibia (Gustilo-Anderson Type IIIA, IIIB, or IIIC) is undergoing routine recovery. It indicates that the fracture is healing as anticipated without complications.

Coding Tips

Ensure documentation specifies "displaced" and "medial malleolus of right tibia."
Verify the original injury was an open fracture classified as Type IIIA, IIIB, or IIIC.
Confirm the encounter is for subsequent care and not the initial treatment or a delayed/nonunion healing scenario.

AI-generated reference. Verify against official guidelines.

Crosswalks

V54.16ApproxICD-9

Same Category

S82Fracture of lower leg, including ankle S82.0Fracture of patella S82.00Unspecified fracture of patella S82.001Unspecified fracture of right patella S82.001A