Nondisp fx of med malleolus of r tibia, 7thR

This code signifies a previously sustained fracture of the inner ankle bone (medial malleolus) of the right tibia that has not shifted out of alignment. The original injury was an open fracture, meaning the bone broke through the skin, and it was classified as a severe type (IIIA, IIIB, or IIIC). The current encounter addresses a complication where the bone has healed in an imperfect or deformed position (malunion).

Use this code for follow-up encounters where a patient is being treated for a malunion of a nondisplaced right medial malleolar fracture, and the initial injury was a severe open fracture. This would apply during rehabilitation, surgical correction of the malunion, or ongoing management of symptoms related to the malunion.

• Ensure documentation clearly states "nondisplaced" and specifies "right tibia, medial malleolus."
• Verify the original injury was an "open fracture type IIIA, IIIB, or IIIC" and that the current issue is a "malunion."
• This code is for a subsequent encounter; an initial encounter for the malunion would use a different code.