Displaced pilon fx right tibia, init for opn fx type 3A/B/C

This code signifies a severe fracture of the distal tibia, specifically involving the weight-bearing surface of the ankle joint (pilon fracture), where the bone fragments are not in their anatomical alignment. It further specifies that the fracture is an open injury, meaning the skin and soft tissues are compromised, and is classified as a high-energy trauma (Type IIIA, IIIB, or IIIC) according to the Gustilo-Anderson classification, affecting the right leg. This code is used for the initial treatment phase of such an injury.

This code is appropriate for documenting the initial encounter for a patient presenting with a right pilon fracture that is clearly displaced and involves an open wound of Gustilo-Anderson type IIIA, IIIB, or IIIC. This would typically be used in emergency department settings, initial surgical admissions, or during the first phase of definitive treatment.

• Ensure documentation clearly specifies "displaced" and "right tibia" for accurate coding.
• Verify the Gustilo-Anderson classification (IIIA, IIIB, or IIIC) is explicitly stated or clearly inferable from the physician's notes regarding the open wound severity.
• Confirm this is the "initial encounter" for treatment; subsequent care would use different encounter codes.