Nondisp bimalleol fx r low leg, 7thG

This code signifies a fracture involving both the medial and lateral malleoli of the right ankle, where the bone fragments remain in their anatomical position. The patient is in a later stage of healing, and the fracture is not progressing as expected, but the skin over the fracture site remains intact.

This code is appropriate for follow-up encounters for a right bimalleolar fracture that was initially treated conservatively (e.g., casting, splinting) and is now demonstrating delayed union. It would be used when the physician documents that the fracture is not healing at the anticipated rate, but no open wound is present.

• Ensure documentation explicitly states "nondisplaced" and "bimalleolar" for the right lower leg.
• Confirm the encounter is for "subsequent" care and specifically mentions "delayed healing" of a "closed fracture."
• Do not use if the fracture is displaced, open, or if healing is progressing normally.