Nondisplaced trimalleolar fracture of right lower leg, init

This code signifies a fracture involving all three malleoli (medial, lateral, and posterior) of the right ankle, where the bone fragments remain in their anatomical position. It indicates that this is the first time the patient is being treated for this specific closed injury.

This code is appropriate for initial encounters with patients presenting with a newly diagnosed, non-displaced trimalleolar fracture of the right lower leg. This includes emergency department visits, initial orthopedic consultations, or admissions for the immediate management of the fracture.

• Ensure documentation explicitly states "nondisplaced" and identifies all three malleoli (medial, lateral, posterior) are fractured.
• Verify the encounter is the "initial encounter" for this specific fracture; subsequent care would use a different seventh character.
• Confirm the fracture is "closed" (skin intact) as open fractures have distinct coding.