Nondisp bimalleol fx unsp low leg, 7thE

This code describes a fracture involving both the medial and lateral malleoli of an unspecified lower leg, where the bone fragments remain in their normal anatomical alignment. This specific code is used when the fracture is an open fracture (meaning the skin was broken) of Type I or II, and the patient is in a subsequent phase of care with expected routine healing.

This code is appropriate for follow-up encounters for patients recovering from a bimalleolar fracture that was initially an open fracture (Type I or II) and is now healing without complications. It would be used after the initial treatment phase, during routine check-ups or cast changes, as long as the healing process is progressing as expected.

• Ensure documentation specifies "nondisplaced" and "bimalleolar" for the fracture.
• Verify the original injury was an "open fracture type I or II" and the current encounter is for "subsequent care with routine healing."
• Do not use for initial encounters or for fractures with delayed healing, nonunion, or malunion.