Complete traumatic amputation of unspecified breast, sequela

This code signifies the long-term effects or complications arising from a complete traumatic removal of an entire breast due to an injury, where the specific breast (left or right) is not documented. It indicates that the initial traumatic event has already occurred and the patient is now experiencing a residual condition related to that amputation.

Apply this code when documenting follow-up care for a patient who previously underwent a complete traumatic breast amputation, and the medical record does not specify which breast was affected. This includes scenarios where a patient presents with issues like phantom pain, scar complications, or psychological sequelae directly attributable to the past traumatic amputation.

• This code is for sequelae, meaning it should be used for conditions arising after the initial injury has healed.
• Always attempt to identify the specific breast (left or right) to use a more precise code if possible.
• Do not use this code for the initial injury or acute care of the traumatic amputation itself.