Nondisp trimalleol fx r low leg, init for opn fx type 3A/B/C

This code signifies a complex fracture involving all three malleoli (medial, lateral, and posterior) of the right ankle, where the bone fragments have not significantly separated. It specifically applies to an open fracture, meaning the skin and soft tissues are compromised, and is further classified as a Gustilo-Anderson Type IIIA, IIIB, or IIIC, indicating significant soft tissue damage and contamination.

Use this code for initial encounters with patients presenting with a newly diagnosed trimalleolar fracture of the right ankle that is confirmed to be nondisplaced and open. This typically occurs after trauma, such as a fall or motor vehicle accident, where the integrity of the skin has been breached and there is extensive soft tissue injury requiring surgical debridement and stabilization.

• Ensure documentation clearly specifies "nondisplaced" and "right" ankle.
• Verify the Gustilo-Anderson classification (IIIA, IIIB, or IIIC) is explicitly stated by the provider for the open fracture.
• This code is for the "initial encounter" only; subsequent care will require different encounter codes.