Nondisplaced bimalleolar fracture of left lower leg, sequela

This code signifies a past injury involving a fracture of both the medial and lateral malleoli of the left lower leg that has since healed, but the patient is still experiencing residual effects or complications directly attributable to that previous fracture. The original fracture was "nondisplaced," meaning the bone fragments remained in their normal alignment.

Apply this code when documenting a patient encounter for a condition or symptom that is a direct consequence of a previously healed nondisplaced bimalleolar fracture of the left lower leg. Examples include chronic pain, stiffness, limited range of motion, or post-traumatic arthritis in the ankle joint stemming from the old injury. This code is used when the acute phase of the fracture has passed.

• Always assign an additional code to specify the nature of the sequela (e.g., M25.572 for chronic pain in the left ankle).
• Ensure documentation clearly links the current condition to the previous nondisplaced bimalleolar fracture of the left lower leg.
• Do not use this code for initial treatment of an acute fracture or for follow-up care during the healing phase.