Orthopedic Coding Alert

Question How do you code for a diagnosis of a comminuted distal tibial metaphyseal fracture with an oblique fracture, proximal fibula, the operative note reads as under:"An open reduction and internal fixation of the left distal tibia was done with a medial Synthesperiarticular plate. Under general anesthesia, a tourniquet was placed at the proximal aspect of the left leg and the left leg was prepped and draped in a sterile manner. The limb was exsanguinated and the tourniquet was inflated to 300 mmHg. A medial distal malleolar incision approximately 2 inches in length was performed and taken down to the subcutaneous layer. Bleeding was controlled withelectrocautery. Blunt dissection was carried down to the periosteum which was splint longitudinally in line with the incision. A subperiosteal dissection of the tibia heading proximally crossing the fracture site into the proximal medial tibia was performed. The fracture was then reduced utilizing standard reduction [...]