Puncture wound without foreign body of left buttock, sequela

This code signifies a past puncture injury to the left buttock that did not involve a foreign body, and the patient is now presenting with a residual condition or complication directly resulting from that original wound. This could include chronic pain, scarring, nerve damage, or other long-term effects.

Use this code when documenting a patient encounter for a sequela (late effect) of a puncture wound to the left buttock, where the initial injury has healed but continues to cause symptoms or problems. This applies when the original wound did not have a foreign body embedded in it.

• Always assign an additional code(s) to specify the nature of the sequela (e.g., chronic pain, scar, nerve damage).
• Ensure documentation clearly links the current condition to the past puncture wound.
• Do not use this code for acute puncture wounds or if a foreign body was present.