Displ bimalleol fx l low leg, 7thR

This code signifies a left ankle fracture involving both the medial and lateral malleoli, which has healed in an anatomically incorrect position (malunion). It specifically applies to an open fracture that was initially classified as Gustilo-Anderson type IIIA, IIIB, or IIIC, and the patient is now in a subsequent phase of care for this malunion.

Use this code when documenting follow-up care for a patient who previously sustained a severe open bimalleolar fracture of the left ankle, and imaging or clinical assessment confirms that the fracture has healed with a significant angular or rotational deformity. This would typically be used during rehabilitation, ongoing management of complications related to the malunion, or planning for corrective surgery.

• Ensure documentation clearly specifies "left" lower leg and confirms "malunion" of a bimalleolar fracture.
• Verify the original open fracture was Gustilo-Anderson type IIIA, IIIB, or IIIC, as this is a specific inclusion criterion.
• This "R" encounter code is used after the initial healing phase, for ongoing treatment of the malunion.