Laceration of lung, bilateral, subsequent encounter

This code signifies a traumatic injury to both lungs where the tissue has been torn or cut, extending through the full thickness of the lung parenchyma. It specifically indicates that the patient is receiving follow-up care for this previously diagnosed bilateral lung laceration.

Apply this code for patients presenting for ongoing treatment, monitoring, or evaluation of a bilateral lung laceration after the initial active treatment phase. This includes clinic visits for follow-up imaging, medication adjustments, or assessment of healing and complications related to the original injury.

• Ensure documentation clearly specifies "bilateral" involvement of the lungs.
• Verify that the encounter is for follow-up care, not the initial treatment of the injury.
• Look for associated codes for any complications (e.g., pneumothorax, hemothorax) that may still be present or developing during the subsequent encounter.