Nondisp fx of medial malleolus of right tibia, init

This code describes a break in the inner ankle bone (medial malleolus) of the right tibia that has not shifted out of its normal anatomical position. It indicates that the skin over the fracture site is intact, and this is the first time the patient is receiving treatment for this specific injury.

This code is appropriate for documenting the initial treatment of a right medial malleolar fracture where imaging confirms no displacement of the bone fragments. It is used when the fracture is closed, meaning there is no open wound communicating with the fracture site. This code would be assigned upon the patient's first presentation and management of this injury.

• Ensure imaging reports specifically state "nondisplaced" for the medial malleolus of the right tibia.
• Verify the encounter is for the initial treatment of the fracture, not a follow-up or subsequent care.
• Confirm the fracture is documented as "closed" to differentiate from open fractures.