Nondisp trimalleol fx r low leg, 7thE

This code signifies a non-displaced fracture involving all three malleoli (medial, lateral, and posterior) of the right ankle, which is an open fracture of Gustilo-Anderson type I or II. The patient is currently in a phase of routine healing following initial treatment.

Apply this code for follow-up encounters where a patient with a previously diagnosed and treated nondisplaced trimalleolar open fracture (Type I or II) of the right lower leg is presenting for routine post-operative care, cast changes, or wound checks, and the fracture is healing as expected without complications. This code is appropriate when the initial active treatment for the fracture has concluded, and the focus is on monitoring healing.

• Ensure documentation specifies "nondisplaced" and "trimalleolar" for the right lower leg.
• Confirm the fracture was initially an "open fracture type I or II" and the current encounter is for "subsequent" care with "routine healing."
• Do not use this code for initial treatment encounters or for encounters involving delayed healing, nonunion, or malunion.