Inj muscle, fascia and tendon at neck level, sequela

This code signifies a long-term or late effect resulting from a previously sustained injury to the muscles, fascia, or tendons in the neck region. It indicates that the initial injury has resolved, but the patient continues to experience residual symptoms or conditions directly attributable to that past trauma.

Apply this code when documenting chronic pain, limited range of motion, weakness, or other persistent functional deficits in the neck that are clearly linked to an old injury of the soft tissues. This is appropriate for follow-up encounters where the acute phase of the original injury has passed, and the current treatment addresses the sequelae.

• Always sequence this sequela code first, followed by a code describing the specific residual condition (e.g., chronic pain, muscle weakness).
• Ensure documentation clearly links the current neck symptoms to a past injury of the muscle, fascia, or tendon.
• Verify that the "S" seventh character is appropriate, indicating a sequela, rather than an initial encounter (A) or subsequent encounter (D).