Nondisp fx of med malleolus of unsp tibia, 7thF

This code describes a follow-up visit for a patient with a nondisplaced fracture of the medial malleolus (the inner ankle bone) of an unspecified tibia. The initial injury was an open fracture, classified as type IIIA, IIIB, or IIIC, and the current encounter indicates routine healing is occurring.

Use this code for subsequent encounters when a patient is receiving ongoing care for a previously diagnosed nondisplaced medial malleolus fracture that was initially an open fracture (Gustilo-Anderson type IIIA, IIIB, or IIIC). This applies when the fracture is healing as expected without complications.

• Ensure documentation specifies "nondisplaced" and identifies the medial malleolus.
• Verify the initial fracture was an open fracture type IIIA, IIIB, or IIIC.
• Confirm the encounter is for routine follow-up during the healing phase, not for initial treatment or complications.