Nondisp pilon fx r tibia, 7thQ

This code signifies a pilon fracture of the right tibia where the bone fragments remain in their anatomical position (nondisplaced). It specifically indicates that this is a follow-up encounter for a previously sustained open fracture, classified as Type I or II, which has unfortunately healed in an unsatisfactory alignment (malunion).

Apply this code when documenting ongoing care for a patient whose right tibia pilon fracture, initially an open Type I or II injury, has healed with malunion. This is appropriate for subsequent visits, such as for evaluation of the malunion, planning for corrective surgery, or monitoring non-operative management of the malunion.

• Ensure documentation clearly specifies "nondisplaced" and "malunion" for the right tibia pilon fracture.
• Verify the original fracture was an "open fracture Type I or II" to justify the "subsequent encounter for open fracture" designation.
• Do not use for initial treatment or for fractures that are healing normally or with nonunion.