Displ pilon fx unsp tibia, 7thH

This code describes a pilon fracture, which is a break at the very bottom of the tibia (shin bone) involving the ankle joint, that is displaced (bones are out of alignment) and the specific location of the tibia is not documented. This particular instance refers to an open fracture (skin broken) of type I or II that is not healing as expected during a follow-up visit.

Use this code for a patient presenting for ongoing management of a previously sustained open pilon fracture (type I or II) of an unspecified tibia that is showing signs of delayed healing. This applies when the fracture was initially displaced and the current encounter is for continued care, such as wound checks, cast changes, or assessment of healing progress.

• Ensure documentation specifies "unspecified tibia" and "delayed healing" for an open fracture type I or II.
• Confirm the encounter is for subsequent care, not the initial treatment of the fracture.
• Verify the fracture is explicitly described as "displaced" in the medical record.