Displ trimalleol fx l low leg, init for opn fx type 3A/B/C

This code signifies a severe fracture involving all three malleoli (medial, lateral, and posterior) of the left ankle, where the bone fragments are not in their anatomical alignment. It specifically indicates an open fracture, meaning the skin and soft tissues are significantly damaged, exposing the bone, and is classified as Gustilo-Anderson type IIIA, IIIB, or IIIC, denoting high-energy trauma and extensive soft tissue injury. This is the initial encounter for treatment of this complex injury.

Use this code for a patient presenting for the first time with a trimalleolar fracture of the left lower leg that is clearly documented as displaced and an open fracture of Gustilo-Anderson type IIIA, IIIB, or IIIC. This code is appropriate for the initial surgical repair, reduction, or other definitive treatment of this specific injury.

• Verify documentation explicitly states "displaced" and "trimalleolar" for the left lower leg.
• Confirm the open fracture is classified as Gustilo-Anderson type IIIA, IIIB, or IIIC.
• Ensure this is the patient's first encounter for this specific fracture to use the "initial encounter" designation.