Unspecified injury of rectum, sequela

This code signifies a long-term or late effect resulting from an unspecified injury to the rectum. It indicates that the initial acute rectal injury has resolved, but the patient continues to experience residual symptoms or complications directly attributable to that past injury. The specific nature of the original rectal injury is not documented or is unknown.

Use this code when a patient presents with a current condition (e.g., chronic pain, incontinence, stricture) that is a direct consequence of a previously sustained, but unspecified, rectal injury. This applies to situations where the initial injury occurred in the past and is no longer in its acute phase, and the current encounter is for the management of these lasting effects.

• Always assign an additional code to describe the specific nature of the sequela (e.g., chronic rectal pain, fecal incontinence).
• Ensure documentation clearly links the current condition to a past rectal injury, even if the exact nature of the original injury is not specified.
• This code is for sequela (late effects); do not use for acute or initial injury encounters.