Nondisp fx of med malleolus of l tibia, 7thB

This code signifies a break in the inner ankle bone (medial malleolus) of the left lower leg (tibia) that has not shifted out of its normal alignment. The fracture is open, meaning the bone has broken through the skin, and is classified as either Type I or Type II according to the Gustilo-Anderson classification, indicating a relatively clean wound with minimal to moderate soft tissue damage. This code is used for the initial treatment of this injury.

Apply this code when documenting the initial encounter for a patient presenting with a nondisplaced open fracture of the left medial malleolus. This includes situations where the patient is first seen for diagnosis, surgical repair, or initial casting/splinting of this specific injury type.

• Confirm the fracture is specifically of the medial malleolus and not other ankle bones.
• Verify the laterality is left and that the fracture is explicitly documented as nondisplaced.
• Ensure the medical record clearly states an open fracture classified as Type I or Type II and that this is the initial encounter for treatment.