Puncture wound with foreign body of left buttock, sequela

This code signifies a past injury to the left buttock involving a puncture wound where a foreign body was present, and the patient is now experiencing a long-term complication or residual effect from that injury. This indicates that the initial acute injury has resolved, but its lasting impact is still clinically relevant.

Apply this code when documenting a patient presenting with a sequela (e.g., chronic pain, nerve damage, scar tissue complications, persistent infection) directly attributable to a previously sustained puncture wound with a foreign body in the left buttock. This code is appropriate for follow-up encounters addressing these chronic issues, not the initial acute injury.

• Always use this code with an additional code to specify the nature of the sequela (e.g., chronic pain, scar contracture).
• Ensure documentation clearly links the current condition to the historical puncture wound with a foreign body.
• Do not use this code for the initial acute injury; instead, use the appropriate acute injury code with a 7th character for initial encounter.