Contusion of rectum, subsequent encounter

This code signifies a bruise or superficial injury to the rectum that does not involve a laceration or rupture. It indicates damage to the rectal tissue, often resulting from blunt trauma, without a full-thickness tear.

Apply this code for follow-up encounters or subsequent care related to a previously diagnosed rectal contusion. This includes situations where the patient is returning for re-evaluation, wound care, or monitoring of healing after the initial injury.

• Ensure documentation clearly states "contusion" and specifies the "rectum" as the affected site.
• The "D" seventh character indicates a subsequent encounter, meaning the patient is receiving routine care during the healing phase.
• Do not use for initial encounters of the injury; a different seventh character would be appropriate for the initial visit.