S82.55XR
ICD-10-CMNondisplaced fracture of medial malleolus of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
This code signifies a previously treated fracture of the inner ankle bone (medial malleolus) of the left tibia that was initially an open fracture (skin broken) of a severe type (IIIA, IIIB, or IIIC). The fracture itself is currently nondisplaced, but it has healed incorrectly, resulting in a malunion. This code is used during follow-up care for this specific complication.
Apply this code during subsequent encounters for patients who are being managed for a malunion of a nondisplaced left medial malleolus fracture, where the original injury was a severe open fracture. This would include scenarios where the malunion is being monitored, evaluated for corrective surgery, or undergoing non-surgical management. It is appropriate for follow-up visits after the initial healing phase has concluded but the bone has united in an undesirable position.
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