Disp fx of med malleolus of l tibia, 7thP

This code describes a situation where a patient has a fracture of the inner ankle bone of the left lower leg that has not healed correctly, resulting in a deformity (malunion). The fracture was initially displaced, meaning the bone fragments were out of alignment. This code is used when the patient is receiving follow-up care for this specific healing complication.

This code is appropriate for documenting a patient's visit for ongoing management of a left medial malleolus fracture that has healed in a misaligned position. This would include scenarios such as evaluating the malunion, discussing surgical correction, or managing pain and functional limitations related to the malunion. It should be used after the initial treatment phase for the acute fracture.

• Ensure documentation clearly states "malunion" and specifies the "left medial malleolus."
• Verify that the encounter is for follow-up care, not the initial treatment of the acute fracture.
• Always sequence this code after any codes for the underlying condition or complications being addressed during the encounter.