Nondisp fx of medial malleolus of unspecified tibia, sequela

This code signifies a healed or residual condition resulting from a fracture of the inner ankle bone (medial malleolus) of the tibia, where the bone fragments were not displaced at the time of the original injury. The "sequela" indicates that the patient is presenting for treatment of a complication or late effect directly attributable to this past fracture, rather than the acute injury itself.

Apply this code when a patient presents with ongoing pain, stiffness, limited range of motion, malunion, nonunion, or other long-term issues directly related to a previously sustained, nondisplaced medial malleolar fracture of an unspecified tibia. This code is appropriate for follow-up care after the initial healing period, when the focus is on managing the chronic effects of the injury.

• Always ensure documentation clearly links the current complaint to the past fracture.
• Do not use this code for the initial treatment of an acute fracture; it is exclusively for sequelae.
• The "X" placeholder for laterality indicates that the specific left or right tibia was not documented.