Nondisp pilon fx l tibia, 7thQ

This code signifies a non-displaced fracture of the distal tibia (pilon fracture) on the left side, which was initially an open fracture classified as Type I or II. The current encounter is for follow-up care where the fracture has healed incorrectly, resulting in a malunion.

This code is appropriate for subsequent encounters when a patient with a previously treated open Type I or II pilon fracture of the left tibia presents with evidence of malunion. This would include scenarios where the patient is undergoing evaluation or treatment for the improperly healed fracture.

• Ensure documentation clearly specifies "nondisplaced," "left tibia," "pilon fracture," and "malunion."
• Verify the initial open fracture was documented as Type I or II.
• This code is for subsequent encounters; an initial encounter would use a different code.