Nondisp bimalleol fx l low leg, 7thR

This code describes a left lower leg fracture involving both the medial and lateral malleoli that has not shifted from its anatomical position. It specifically indicates that the fracture was initially an open fracture of severe type (IIIA, IIIB, or IIIC) and is now healing incorrectly, resulting in a malunion. This is being addressed during a subsequent encounter.

Use this code for follow-up visits where a patient is being treated for a malunion of a previously sustained, nondisplaced bimalleolar open fracture (Type IIIA, IIIB, or IIIC) of the left lower leg. This applies when the physician is actively managing the complications of the healing process, such as planning for corrective surgery or monitoring the progression of the malunion.

• Ensure documentation clearly specifies "nondisplaced" and "bimalleolar" for the fracture type.
• Verify the original fracture was an open fracture type IIIA, IIIB, or IIIC, and that a malunion is present.
• Confirm this is a subsequent encounter, not the initial treatment of the fracture.