Stress fracture, right shoulder, sequela

This code signifies a stress fracture affecting the right shoulder, specifically indicating that the fracture itself is a sequela or late effect of a previous injury or condition. It describes the long-term consequences or residual effects of a stress fracture in this anatomical location.

Use this code when documentation clearly indicates a stress fracture of the right shoulder and specifies that it is a sequela. This typically applies to chronic conditions, non-union, malunion, or persistent pain directly attributable to a past stress fracture. Supporting documentation should detail the original injury and the current residual effects.

• Always ensure documentation explicitly states "sequela" or "late effect" in relation to the stress fracture.
• Do not use for acute stress fractures; those require codes from the M84.311- series without the "S" seventh character.
• Proper sequencing may require an additional code to identify the underlying cause of the sequela, if known and relevant.