Unspecified superficial injury of vagina and vulva, sequela

This code signifies a past superficial injury to the external female genitalia (vulva) or the internal female reproductive canal (vagina) where the specific nature of the original injury is not documented. It indicates that the patient is currently experiencing a residual condition or complication directly resulting from that prior, unspecified superficial trauma.

Use this code when a patient presents with a sequela (e.g., scar tissue, chronic pain, or functional impairment) from an old, superficial injury to the vagina or vulva, and the medical record does not specify the exact type of superficial injury (e.g., abrasion, contusion, blister). This code is appropriate for follow-up encounters addressing these long-term effects.

• Always use this code with an additional code to specify the nature of the sequela (e.g., scar, chronic pain).
• Ensure documentation clearly links the current condition to a past superficial injury of the vagina or vulva.
• Avoid using this code for acute injuries; instead, use the appropriate acute injury code.