Puncture wound without foreign body of unsp buttock, sequela

This code signifies a long-term complication or late effect stemming from a puncture wound to an unspecified buttock, where no foreign object was retained. It indicates that the initial injury has healed, but residual issues or conditions persist as a direct consequence of that past trauma.

Apply this code when documenting a patient presenting with a current condition directly attributable to a previously sustained puncture wound of the buttock, and the original injury has resolved. This is appropriate for follow-up encounters addressing chronic pain, scarring, nerve damage, or other lasting sequelae from such an injury.

• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated (e.g., chronic pain, scar contracture).
• Ensure documentation clearly links the current condition to the past puncture wound and specifies the buttock as the affected area.
• Confirm that the medical record explicitly states "without foreign body" for the original injury.