Nondisp bimalleol fx l low leg, 7thJ

This code describes a fracture involving both the medial and lateral malleoli of the left ankle that has not shifted out of alignment. It specifically indicates that the fracture was initially an open fracture (meaning the skin was broken) of a severe type (IIIA, IIIB, or IIIC) and is currently in a phase of delayed healing.

This code is appropriate for follow-up encounters where a patient is receiving ongoing care for a previously sustained nondisplaced bimalleolar fracture of the left lower leg. The key indicators for its use are the initial open nature of the fracture (types IIIA, IIIB, or IIIC) and documentation of delayed healing. This would typically be used after the initial treatment phase, but before full union has occurred.

• Ensure documentation clearly specifies "nondisplaced" and "bimalleolar" for the left lower leg.
• Verify the original injury was an "open fracture type IIIA, IIIB, or IIIC" and that "delayed healing" is explicitly noted.
• Do not use for initial encounters or for fractures that are healing normally or with nonunion.