Displ pilon fx r tibia, subs for opn fx type I/2 w nonunion

This code signifies a pilon fracture of the right tibia that is displaced, meaning the bone fragments are not in their normal alignment. It specifically indicates an open fracture (where the bone has broken through the skin) classified as type I or II, and the fracture has failed to heal properly, resulting in nonunion. This code is used during a subsequent encounter for ongoing treatment of this complex injury.

Use this code for patients presenting for follow-up care, surgical intervention, or ongoing management of a right tibial pilon fracture that was initially open (type I or II) and is now complicated by nonunion. This applies when the fracture fragments remain displaced.

• Ensure documentation clearly specifies "nonunion" and the "subsequent encounter" for accurate coding.
• Verify the open fracture type (I or II) is documented, as other types would require a different code.
• Confirm the laterality (right tibia) and the displaced nature of the fracture are explicitly stated in the medical record.