Displaced bimalleolar fracture of left lower leg, init

This code signifies a fracture involving both the medial and lateral malleoli of the left ankle, where the bone fragments are not in their anatomical alignment. It specifically indicates that the skin over the fracture site remains intact, and this is the first time the patient is receiving treatment for this injury.

Apply this code for patients presenting with a newly diagnosed bimalleolar fracture of the left ankle that is confirmed to be displaced on imaging and has no open wound communicating with the fracture. This is appropriate for the initial evaluation and management, including surgical repair or casting.

• Ensure documentation clearly specifies "displaced" and "bimalleolar" for the left lower leg.
• Verify the encounter is for the initial treatment of the fracture, not a follow-up or healing phase.
• Confirm the fracture is closed; if open, a different code would be necessary.