Displ trimalleol fx r low leg, 7thN

This code describes a complex fracture involving all three malleoli (medial, lateral, and posterior) of the right lower leg, which is displaced and has failed to heal properly. The fracture is open, meaning the bone has broken through the skin, and is classified as a severe open fracture type IIIA, IIIB, or IIIC. This specific code indicates that the patient is in a subsequent phase of care for this non-healing injury.

Use this code when documenting ongoing treatment for a patient with a previously diagnosed and treated displaced trimalleolar fracture of the right lower leg that has not united. This applies to cases where the initial injury was an open fracture of a severe type (IIIA, IIIB, or IIIC) and the patient is now presenting for follow-up, further intervention, or management of the nonunion.

• Ensure documentation clearly specifies "nonunion" and the "subsequent encounter" for this specific fracture type.
• Verify the laterality (right) and the open fracture type (IIIA, IIIB, or IIIC) are explicitly stated in the medical record.
• Do not use this code for initial encounters or for fractures that are healing normally.