Nondisp fx of med malleolus of r tibia, 7thE

This code signifies a nondisplaced fracture of the medial malleolus in the right ankle, specifically for an open fracture (Type I or II) that is healing routinely. It indicates that the initial treatment has been rendered and the patient is now in a follow-up phase of care.

Apply this code for subsequent encounters when a patient with a previously treated open, nondisplaced medial malleolus fracture of the right tibia is presenting for routine follow-up, such as cast changes, wound checks, or imaging to monitor healing progress. This code is appropriate when the fracture is healing as expected without complications.

• Ensure the documentation clearly specifies "right" tibia and "medial malleolus."
• Verify that the fracture was initially an "open" fracture (Type I or II) and that the encounter is "subsequent" with "routine healing."
• Do not use this code for initial treatment or for encounters involving delayed healing, nonunion, or malunion.