Nondisp fx of med malleolus of r tibia, 7thQ

This code describes a right ankle injury where the inner bony prominence of the tibia (medial malleolus) has a break that is not out of alignment. This specific code is used when the fracture was initially an open fracture (skin broken) of type I or II, and the bone is now healing incorrectly, resulting in a malunion.

Apply this code during follow-up encounters for a patient with a previously treated open medial malleolus fracture (Type I or II) of the right tibia that is now demonstrating signs of malunion. This indicates ongoing management of the fracture healing process where the bone fragments have united in an anatomically incorrect position.

• Ensure documentation clearly specifies "right tibia" and "medial malleolus" to differentiate from other ankle fractures.
• Verify the initial injury was an "open fracture type I or II" and that the current encounter addresses a "malunion."
• This "Q" seventh character indicates a subsequent encounter for a malunion, not initial treatment or routine healing.