Displ bimalleol fx unsp low leg, 7thR

This code signifies a bimalleolar fracture of the lower leg that has not healed correctly (malunion) and was initially an open fracture with significant soft tissue damage (Type IIIA, IIIB, or IIIC). The patient is presenting for follow-up care or treatment related to this previously sustained injury. The specific lower leg (left or right) is not documented.

Use this code for a patient who has a documented malunion of a bimalleolar fracture, where the original injury was an open fracture classified as Type IIIA, IIIB, or IIIC. This applies during subsequent encounters for ongoing management, complications, or definitive treatment of the malunion.

• Ensure documentation clearly specifies "malunion" and that the original fracture was an open Type IIIA, IIIB, or IIIC.
• Verify that the encounter is for follow-up care related to the fracture, not the initial treatment.
• If the laterality (left or right leg) is specified in the documentation, a more specific code should be used.