Contusion of right breast, sequela

This code signifies a bruise or injury to the right breast where the initial injury has resolved, but residual effects or complications persist. These lasting effects could include chronic pain, scarring, or altered sensation directly attributable to the original contusion. It indicates that the patient is being treated for the long-term consequences, not the acute injury itself.

Apply this code when documenting follow-up care for a patient who previously sustained a right breast contusion and is now presenting with ongoing symptoms or conditions directly resulting from that past injury. This is appropriate for encounters addressing chronic pain, scar tissue management, or persistent tenderness years after the initial trauma. Do not use for the initial acute injury.

• Ensure documentation clearly links the current condition to a resolved right breast contusion.
• This code requires a 7th character of 'S' for sequela, indicating the late effects of the injury.
• Do not use this code for a current, active contusion; instead, use the acute injury code.