Sprain of jaw, bilateral, sequela

This code signifies a sprain affecting both temporomandibular joints (TMJs) as a long-term consequence or late effect of an earlier injury. It indicates that the patient is experiencing residual symptoms or complications from a previously sustained bilateral jaw sprain.

Apply this code when documentation clearly indicates a current condition of bilateral jaw sprain that is a sequela of a past injury, rather than an acute event. This is appropriate for patients presenting with chronic pain, limited range of motion, or other persistent issues directly attributable to an old bilateral TMJ sprain.

• Ensure the "S" seventh character is used only for sequelae, indicating a late effect of an injury.
• Distinguish carefully between acute sprains (initial encounter) and ongoing problems from a past injury.
• Look for documentation explicitly stating "history of," "due to old injury," or similar phrasing linking the current symptoms to a prior bilateral jaw sprain.