Nondisp fx of med malleolus of r tibia, 7thF

This code describes a non-displaced fracture of the inner ankle bone (medial malleolus) of the right tibia that occurred previously. The original injury was an open fracture, classified as Type IIIA, IIIB, or IIIC, and is now in a routine healing phase during a follow-up encounter.

This code is appropriate for subsequent visits when a patient is receiving ongoing care for a healing, non-displaced right medial malleolus fracture that was initially an open fracture of a severe type (IIIA, IIIB, or IIIC). It signifies that the fracture is progressing as expected without complications.

• Ensure documentation specifies "nondisplaced" and identifies the "right" tibia.
• Verify the original injury was an open fracture type IIIA, IIIB, or IIIC.
• Confirm the encounter is for follow-up care during routine healing, not initial treatment or delayed/nonunion.