Nondisp pilon fx r tibia, 7thF

This code describes a pilon fracture of the right tibia that is not displaced, meaning the bone fragments are still in their normal anatomical alignment. It specifically indicates that this is a follow-up encounter for an open fracture (where the bone broke through the skin) classified as Type IIIA, IIIB, or IIIC, and the fracture is healing routinely without complications.

Use this code for a patient presenting for a scheduled follow-up visit after initial treatment of an open pilon fracture of the right tibia (Type IIIA, IIIB, or IIIC) where the fracture is now nondisplaced and showing expected healing progress. This applies when the patient is beyond the initial active treatment phase and is in the routine recovery period.

• Ensure documentation specifies "nondisplaced" and "right tibia" for accurate laterality and displacement.
• Verify the encounter is for "subsequent" care and that the original open fracture was classified as Type IIIA, IIIB, or IIIC.
• Confirm "routine healing" is documented; if complications or delayed healing are present, a different code would be appropriate.