Nondisp pilon fx unsp tibia, 7thR

This code signifies a nondisplaced fracture of the pilon (distal tibia) that is currently healing with malunion. The initial injury was an open fracture, classified as type IIIA, IIIB, or IIIC, indicating significant soft tissue damage and contamination. This code is used during follow-up care after the initial treatment of the fracture.

Apply this code when documenting a subsequent encounter for a patient with a previously treated open pilon fracture (type IIIA, IIIB, or IIIC) that has healed in an anatomically incorrect position (malunion). This would be appropriate for patients undergoing evaluation for corrective surgery, physical therapy for functional limitations due to malunion, or ongoing management of complications related to the malunion.

• Ensure documentation clearly specifies "nondisplaced" and "malunion" for the pilon fracture.
• Verify the original open fracture type (IIIA, IIIB, or IIIC) is documented to support the specificity of this code.
• This code is for subsequent encounters; do not use for the initial treatment of the fracture.