Laceration without foreign body of right breast, sequela

This code signifies a past injury to the right breast involving a tear or cut in the skin and underlying tissues, where no foreign object was embedded at the time of the original injury. The "sequela" designation indicates that this code is used to report a late effect or complication arising from that initial laceration, rather than the acute injury itself.

This code is appropriate when a patient presents with a current condition or symptom that is a direct consequence of a previously sustained laceration to the right breast. Examples include scar tissue formation, chronic pain, or functional impairment directly attributable to the healed laceration. It should not be used for the initial treatment of an acute laceration.

• Always sequence the sequela code first, followed by a code describing the specific nature of the sequela (e.g., scar, chronic pain).
• Ensure documentation clearly links the current condition to the past right breast laceration.
• Verify that no foreign body was present in the original laceration, as codes exist for lacerations with foreign bodies.