Abrasion of unspecified part of head, sequela

This code signifies a superficial injury to the head, characterized by a scrape or graze, where the specific anatomical location on the head is not documented. The "S" in the 7th character indicates that this code is for a sequela, meaning it represents a complication or residual effect of an initial injury that has healed.

Apply this code when documentation indicates a current condition or complication directly resulting from a previously sustained, unspecified abrasion of the head. This is appropriate for follow-up encounters addressing long-term effects such as scarring, chronic pain, or other persistent issues related to the original abrasion. Documentation must clearly link the current condition to the past abrasion.

• Only use the "S" (sequela) seventh character for conditions that are a late effect of the original injury, not for the initial treatment of the abrasion.
• Ensure the medical record explicitly states that the abrasion's specific location on the head was not identified.
• Always sequence this code after the code for the specific sequela or complication being treated.