Nondisp pilon fx r tibia, 7thR

This code describes a right tibia pilon fracture that was initially an open fracture (Type IIIA, IIIB, or IIIC) and is now experiencing malunion. "Nondisplaced" indicates the bone fragments are in their anatomical position despite the malunion. The "subsequent encounter" aspect signifies that the patient is receiving follow-up care for this previously treated injury.

Use this code for patients presenting for ongoing management of a right pilon fracture that was initially open and has healed in a misaligned position. This applies when the fracture itself is no longer acute but the malunion is the focus of the encounter. Common scenarios include follow-up appointments for pain, functional limitations, or planning for corrective surgery related to the malunion.

• Ensure documentation clearly specifies "right tibia" and "pilon fracture" with evidence of malunion.
• Verify the original injury was an "open fracture type IIIA, IIIB, or IIIC" to support this specific code.
• Confirm the encounter is for a "subsequent encounter" and not an initial treatment or active healing phase.