Nondisp trimalleol fx r low leg, 7thQ

This code signifies a right lower leg fracture involving all three malleoli (medial, lateral, and posterior) that is not displaced. The fracture was initially an open fracture of Gustilo type I or II, and the current encounter addresses a complication of malunion, meaning the bone has healed in an incorrect anatomical position.

This code is appropriate for follow-up encounters where a patient with a previously treated open trimalleolar fracture of the right lower leg, initially classified as Gustilo type I or II, is being managed for malunion. This could include assessments for corrective surgery, physical therapy, or ongoing monitoring of the malunited fracture.

• Ensure documentation clearly specifies "nondisplaced" and "trimalleolar" for the right lower leg.
• Verify the original fracture was an "open fracture type I or II" and the current issue is "malunion."
• Do not use for initial fracture treatment or for nonunion, delayed union, or routine follow-up without malunion.