Nondisp trimalleol fx r low leg, 7thG

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. The patient is in a later stage of healing, and the fracture is not progressing as expected, but the skin remains intact over the injury site.

Apply this code when documenting follow-up care for a right trimalleolar fracture that was initially treated non-surgically or has undergone initial stabilization, and the physician notes delayed union or non-union. This is appropriate for subsequent visits where the patient is still receiving treatment for the fracture's healing complications.

• Ensure documentation clearly specifies "nondisplaced" and "right lower leg" for accurate laterality and displacement.
• Confirm the encounter is for a "subsequent" visit and that "delayed healing" is explicitly stated or clearly implied in the medical record.
• Verify the fracture is "closed" (no open wound communicating with the fracture site) to differentiate from open fractures.