Nondisplaced trimalleolar fracture of l low leg, sequela

This code signifies a past injury involving a fracture of all three malleoli (medial, lateral, and posterior) in the left lower leg, which has since healed without any displacement of the bone fragments. The "sequela" designation indicates that this code is used to report a condition that is a late effect or residual of the original trimalleolar fracture.

Apply this code when documenting follow-up care for a patient who previously sustained a left trimalleolar fracture that was nondisplaced and is now considered a healed injury, but the patient is still experiencing or being treated for a residual effect directly related to that past fracture. This could include chronic pain, stiffness, or functional limitations stemming from the old injury.

• Always sequence this sequela code after the primary diagnosis for the current condition being treated.
• Ensure documentation clearly links the current complaint or treatment to the previous trimalleolar fracture.
• Verify that the fracture was explicitly documented as "nondisplaced" and involved all three malleoli of the left lower leg.