Displaced pilon fx r tibia, subs for clos fx w routn heal

This code signifies a pilon fracture of the right tibia that is displaced, meaning the bone fragments are not in their normal alignment. The "subsequent encounter" indicates the patient is receiving follow-up care for this fracture, which is currently healing routinely without complications and has not required surgical intervention at this stage.

Use this code for patients presenting for routine follow-up appointments, cast changes, or imaging to monitor the healing progress of a previously diagnosed and treated displaced pilon fracture of the right tibia. This applies when the fracture is healing as expected and no new complications or interventions are being addressed.

• Ensure documentation specifies "displaced" and "right tibia" for accurate code assignment.
• Verify the encounter is for routine healing and not for initial treatment, malunion, nonunion, or delayed healing, which would require different codes.
• Confirm the fracture is closed; open fractures have distinct coding pathways.