Nondisp fx of lateral malleolus of r fibula, 7thP

This code describes a right fibular fracture, specifically at the lateral malleolus, that was initially nondisplaced but has since healed improperly (malunion). The patient is currently in a subsequent phase of care for this closed fracture, indicating ongoing treatment or follow-up after the initial injury and treatment.

Use this code when a patient presents for follow-up care, evaluation of healing, or management of complications related to a previously treated nondisplaced lateral malleolus fracture of the right fibula, where imaging or clinical assessment confirms malunion. This applies to situations where the fracture was initially closed and is now undergoing subsequent treatment.

• Ensure documentation clearly states "malunion" as a complication of the healing process.
• Verify the encounter is for subsequent care, not initial treatment or active healing without complication.
• Confirm the fracture is of the right lateral malleolus and was initially nondisplaced and closed.