Nondisp bimalleol fx r low leg, 7thD

This code describes a fracture involving both the medial and lateral malleoli of the right ankle, where the bone fragments remain in their normal anatomical alignment. The patient is in a follow-up phase of treatment, and the fracture is healing as expected without complications.

This code is appropriate for subsequent encounters when a patient with a previously diagnosed nondisplaced bimalleolar fracture of the right lower leg is seen for routine follow-up, cast changes, or physical therapy, and the fracture is progressing through normal healing. It indicates that the initial treatment has been rendered and the focus is now on recovery.

• Ensure documentation specifies "nondisplaced" and "bimalleolar" for the right lower leg.
• The 7th character "D" is crucial, indicating a subsequent encounter for routine healing of a closed fracture.
• Do not use for initial treatment or if complications (e.g., delayed healing, nonunion) are present.