Laceration of rectum, subsequent encounter

This code signifies a tear or cut in the rectal wall that is being treated in a follow-up visit. This injury can range in severity and may be caused by trauma, foreign bodies, or medical procedures. The subsequent encounter indicates ongoing care after the initial treatment of the laceration.

Apply this code for any encounter where a patient is receiving follow-up care for a previously diagnosed rectal laceration. This includes visits for wound checks, dressing changes, monitoring for complications, or ongoing medical management. It is used after the initial treatment of the acute injury.

• Ensure the encounter is for ongoing care and not the initial treatment of the laceration.
• Verify the documentation clearly states "rectum" and not another part of the large intestine.
• Always sequence this code after the primary diagnosis if the laceration is a secondary condition being managed.