Displ trimalleol fx r low leg, subs for clos fx w routn heal

This code signifies a complex ankle fracture involving all three malleoli (medial, lateral, and posterior) of the right lower leg, where the bone fragments are not in their normal alignment. The patient is in a follow-up phase of care, and the fracture is healing as expected without complications.

Apply this code for a patient presenting for a routine follow-up visit after initial treatment of a displaced trimalleolar fracture of the right lower leg. This includes cast changes, staple/suture removal, or imaging to assess healing progress, provided no complications or delayed healing are noted.

• Ensure documentation specifies "displaced" and "trimalleolar" for the right lower leg.
• The "D" seventh character indicates a subsequent encounter for routine healing; do not use for initial treatment or active complications.
• Confirm the fracture is closed; open fractures would require a different seventh character.