Nondisplaced pilon fracture of left tibia, sequela

This code signifies a healed or residual condition resulting from a nondisplaced fracture of the pilon, which is the weight-bearing articular surface at the distal end of the left tibia. While the fracture itself is no longer acute, the patient may still experience ongoing symptoms or limitations related to the prior injury.

Use this code when documenting a patient presenting with long-term complications, pain, stiffness, or functional impairment directly attributable to a previously sustained and now healed nondisplaced pilon fracture of the left tibia. This applies to encounters occurring after the initial healing phase of the fracture.

• Ensure documentation clearly links current symptoms or conditions to the prior pilon fracture.
• This "S" seventh character indicates sequela, meaning the long-term effects or complications of the original injury.
• Do not use this code for the initial treatment of the acute fracture or during the active healing phase.