Nondisp trimalleol fx r low leg, 7thD

This code signifies a follow-up encounter for a right ankle fracture involving all three malleoli (medial, lateral, and posterior) that was initially treated without surgical intervention to realign the bones. The fracture fragments remain in their anatomical position, and the healing process is progressing as expected for a closed injury.

Apply this code when documenting subsequent visits for a patient with a previously diagnosed nondisplaced trimalleolar fracture of the right lower leg who is undergoing routine follow-up care, such as cast changes, physical therapy assessments, or repeat imaging to monitor healing. This code is appropriate when no complications or delayed healing are noted.

• Ensure "D" (subsequent encounter for routine healing) is the correct seventh character; other options exist for delayed healing, nonunion, or malunion.
• Verify the fracture is explicitly documented as "nondisplaced" and involves all three malleoli (medial, lateral, and posterior).
• Confirm the encounter is for follow-up care of a closed fracture, not the initial treatment or an open fracture.