Disp fx of med malleolus of r tibia, 7thQ

This code signifies a right ankle fracture specifically involving the medial malleolus, which has shifted out of its normal anatomical position. The fracture was initially open, classified as Type I or II, and has subsequently healed improperly, resulting in malunion.

Apply this code when documenting follow-up care for a patient who sustained an open medial malleolar fracture of the right tibia (Type I or II) and is now presenting with complications due to malunion. This would be used during subsequent encounters after the initial treatment of the acute fracture.

• Ensure documentation clearly specifies "right" tibia and "medial malleolus" to differentiate from other ankle fractures.
• Verify the initial fracture was indeed an "open fracture type I or II" and that "malunion" is explicitly diagnosed.
• Confirm this is a "subsequent encounter" for ongoing management of the malunion, not the initial acute injury.