Major laceration of right kidney, sequela

This code indicates a significant, deep tear or wound affecting the right kidney, representing a long-term complication or late effect of an initial injury. It signifies that the patient is experiencing ongoing issues directly attributable to a past major laceration of their right kidney, rather than the acute injury itself.

Assign this code when documenting conditions such as chronic renal insufficiency, hydronephrosis, or persistent pain that are directly attributed to a previously sustained major laceration of the right kidney. This code is appropriate for encounters where the sequela, not the initial acute injury, is the focus of treatment or evaluation.

• Always use this code as a secondary diagnosis, following the code for the specific sequela (e.g., chronic kidney disease).
• Ensure documentation clearly links the current condition to a past major laceration of the right kidney.
• Do not use for initial or subsequent encounters for the acute injury; reserve for late effects.