Nondisp fx of med malleolus of unsp tibia, 7thH

This code describes a fracture of the inner ankle bone (medial malleolus) that is not out of alignment, specifically when the injury was an open fracture (skin broken) of Type I or II, and the patient is presenting for follow-up care due to delayed healing. It indicates a complication in the recovery process of a previously treated open fracture.

Apply this code when documenting a patient's visit for ongoing management of a medial malleolus fracture that was initially an open fracture (Type I or II) and is now experiencing a slower-than-expected healing process. This would be used for subsequent encounters after the initial treatment of the acute fracture.

• Ensure documentation clearly specifies "nondisplaced" and "medial malleolus" of the tibia.
• Verify the original injury was an "open fracture type I or II" and that the current encounter is for "delayed healing."
• This code requires an additional code to specify the laterality (left or right) if known, as "unspecified tibia" is used here.