Type 4 fracture of sacrum, sequela

This code signifies a chronic or late-occurring complication resulting from a Type 4 sacral fracture. A Type 4 sacral fracture typically involves the sacral foramen and extends into the sacroiliac joint, often associated with high-energy trauma. The "sequela" aspect indicates that the patient is experiencing a residual condition directly attributable to the past fracture, rather than an acute injury.

Use this code when documenting a patient presenting with long-term issues such as chronic pain, nerve damage, nonunion, malunion, or functional impairment that are a direct consequence of a previously sustained Type 4 sacral fracture. This applies after the initial healing phase of the fracture has passed.

• Always use this code as a secondary diagnosis, following the code for the specific sequela (e.g., chronic pain, nonunion).
• Ensure documentation clearly links the current condition to the prior Type 4 sacral fracture.
• Verify the "S" seventh character for sequela, indicating a late effect of the injury.