Puncture wound w/o foreign body of vagina and vulva, sequela

This code signifies a puncture injury to the external female genitalia (vagina and vulva) that occurred in the past and is now presenting with a residual effect or complication. It indicates that no foreign object was retained in the wound at the time of the initial injury.

Use this code when documenting a patient presenting with a long-term consequence, such as scarring, chronic pain, or altered sensation, resulting from a previously sustained puncture wound to the vagina or vulva. This applies when the initial acute injury has healed but its effects persist.

• Ensure the documentation clearly indicates the puncture wound is no longer acute and the current encounter addresses a sequela.
• Verify there was no foreign body associated with the original injury.
• Always code the specific nature of the sequela (e.g., chronic pain, scar formation) in addition to this code.