Nondisp pilon fx l tibia, 7thE

This code signifies a nondisplaced fracture of the pilon region of the left tibia that was initially an open fracture (Type I or II). The patient is currently in a subsequent phase of care, and the fracture is healing routinely without complications.

Apply this code when documenting follow-up care for a patient with a previously treated open pilon fracture of the left tibia, where the fracture is now nondisplaced and progressing through normal healing. This is appropriate for office visits, follow-up imaging, or physical therapy encounters during the routine healing phase.

• Ensure the documentation specifies "nondisplaced" and "left tibia" for pilon fracture.
• Confirm the initial injury was an "open fracture type I or II" and that healing is "routine."
• Verify this is a "subsequent encounter" and not an initial treatment or encounter for delayed/nonunion.