Nondisp bimalleol fx l low leg, 7thD

This code describes a follow-up encounter for a fracture affecting both the medial and lateral malleoli of the left ankle, where the bone fragments are still in their normal anatomical alignment. The fracture is currently healing as expected without complications.

This code is appropriate for subsequent visits after the initial treatment of a left bimalleolar fracture, such as cast changes, follow-up X-rays to monitor healing, or physical therapy sessions, as long as the fracture remains closed and is progressing with routine healing. It indicates that the patient is in the recovery phase of a previously diagnosed and treated injury.

• Ensure documentation specifies "nondisplaced" and "bimalleolar" for the left lower leg.
• Confirm the encounter is for follow-up care and not the initial treatment or an encounter for delayed/nonunion healing.
• Verify the fracture is closed; open fractures require different coding.