Unspecified open wound of right buttock, sequela

This code describes a long-term complication or late effect resulting from an open wound on the right buttock, where the specific nature of the wound (e.g., laceration, puncture) is not documented. It indicates that the original injury has healed, but residual issues or conditions persist that are directly attributable to that past trauma.

Apply this code when a patient presents with a current condition, symptom, or sequela (e.g., scar tissue complications, chronic pain, nerve damage) that is a direct consequence of an unspecified open wound to the right buttock that occurred in the past. This code is appropriate when the initial injury is no longer acute and the patient is being treated for the lasting effects.

• Always sequence this sequela code first, followed by a code describing the specific nature of the sequela (e.g., scar, chronic pain).
• Ensure documentation clearly links the current condition to the previous open wound of the right buttock.
• Avoid using this code for acute or active open wounds; those require codes from the initial encounter or subsequent encounter categories.