Displ Maisonneuve's fx r leg, 7thM

This code signifies a specific type of ankle fracture involving the proximal fibula and disruption of the tibiofibular syndesmosis, along with a medial malleolar fracture or deltoid ligament rupture, in the right leg. The fracture fragments are not in their normal anatomical alignment, and the skin and soft tissue were initially broken, exposing the bone. This particular encounter is for ongoing management of the fracture, which has failed to heal properly.

Use this code when documenting a follow-up visit for a patient with a previously diagnosed Maisonneuve's fracture of the right leg that was initially an open fracture (Type I or II) and is now complicated by nonunion. This applies to situations where the patient is receiving continued treatment, such as cast changes, wound care, or evaluation for surgical intervention due to the nonunion.

• Ensure documentation clearly states "nonunion" and specifies the "right leg" and "displaced" nature of the Maisonneuve's fracture.
• Verify the initial injury was an "open fracture type I or II" to align with the "subsequent encounter for open fracture type I or II" specificity.
• Do not use this code for initial treatment or for closed Maisonneuve's fractures, or if the fracture is healing normally.