Nondisp fx of med malleolus of unsp tibia, 7thP

This code signifies a previously sustained fracture of the inner ankle bone of an unknown tibia that has not shifted out of alignment. The fracture is now in a healing phase, but the bone has healed in an imperfect or deformed position.

This code is appropriate for follow-up encounters where a patient is being managed for a malunion of a nondisplaced medial malleolus fracture. This typically occurs after the initial treatment phase, and the provider is addressing the consequences or ongoing management of the improperly healed bone.

• Ensure documentation clearly states "malunion" and specifies the medial malleolus.
• Verify the encounter is for follow-up care of the fracture, not the initial treatment.
• Confirm the fracture was nondisplaced and the laterality of the tibia is not specified.