Nondisp trimalleol fx unsp low leg, 7thG

This code signifies a fracture involving all three malleoli (medial, lateral, and posterior) of an unspecified lower leg, where the bone fragments remain in their normal anatomical alignment. The patient is in a later stage of recovery, and the fracture is not healing at the expected rate, but no surgical intervention for nonunion has occurred.

Apply this code for follow-up encounters with patients diagnosed with a trimalleolar fracture of an unspecified lower leg that was treated non-surgically (closed reduction or conservative management) and is now exhibiting delayed healing. This would be used when the physician documents the delayed healing without specifying which leg was affected.

• Ensure documentation explicitly states "nondisplaced" and "trimalleolar fracture" of an unspecified lower leg.
• Confirm the encounter is for follow-up care of a closed fracture with documented "delayed healing."
• Do not use if the fracture has progressed to nonunion or malunion, or if the laterality is specified.