Pnctr of abd wall w/o fb, r flank with penet perit cav, sqla

This code describes a past injury to the right flank of the abdominal wall, specifically a puncture wound that extended into the peritoneal cavity, and is now presenting with a sequela. This indicates a long-term complication or residual effect stemming from the original injury, rather than the acute injury itself.

Use this code when documenting a patient presenting with a chronic issue, such as adhesions, chronic pain, or a persistent fistula, that is directly attributable to a previously sustained puncture wound of the right flank that penetrated the peritoneal cavity. This code is appropriate when the initial acute injury has healed, but its lasting effects are being treated or evaluated.

• Always ensure the documentation clearly links the current condition (sequela) to the specified past injury.
• Do not use this code for the initial encounter of the acute puncture wound; instead, use the acute injury code.
• Look for documentation of "history of," "due to previous injury," or "complication of past trauma" to support the use of a sequela code.