Displ pilon fx r tibia, 7thJ

This code describes a right ankle fracture involving the weight-bearing surface of the distal tibia (pilon fracture) that is no longer in its anatomical alignment. It specifically indicates an open fracture (where the bone broke through the skin) classified as severe (Type IIIA, IIIB, or IIIC) and is being treated because the healing process is taking longer than expected.

Use this code for follow-up encounters where a patient is receiving ongoing care for a previously diagnosed displaced open pilon fracture of the right tibia, and the physician documents delayed healing. This applies to situations where the initial injury was a severe open fracture and the patient is not progressing as anticipated in their recovery.

• Ensure documentation specifies "displaced" and "right tibia" for accurate coding.
• Verify the open fracture type (IIIA, IIIB, or IIIC) is clearly documented in the patient record.
• Confirm the encounter is for "delayed healing" and not routine follow-up or initial treatment.