Nondisp pilon fx r tibia, 7thH

This code describes a specific type of fracture affecting the distal end of the right tibia, known as a pilon fracture, which is not displaced. It indicates that the fracture is an open fracture of type I or II and the patient is in a subsequent phase of care where the healing process is taking longer than expected.

This code is used when a patient with a previously diagnosed and treated nondisplaced pilon fracture of the right tibia, which was an open fracture (Type I or II), presents for follow-up care due to delayed healing. It signifies ongoing management of the fracture after initial treatment, specifically addressing the slow progression of bone union.

• Ensure documentation specifies "nondisplaced" and "right tibia" for accurate coding.
• Confirm the encounter is for "subsequent care" and that "delayed healing" is explicitly noted.
• Verify the original fracture was documented as an "open fracture type I or II" to support this specific code.