Inj muscle, fascia and tendon of lower back, sequela

This code signifies a long-term or residual effect from a past injury to the muscles, fascia, or tendons of the lower back. It indicates that the initial acute injury has resolved, but the patient continues to experience symptoms or functional limitations directly attributable to that prior trauma.

Apply this code when documenting a patient presenting with chronic pain, weakness, stiffness, or other persistent issues in the lumbar region that are a direct consequence of a previously sustained muscle, fascia, or tendon injury. This is appropriate for follow-up encounters addressing these lasting effects, not the initial acute injury.

• Always sequence this code after the primary diagnosis describing the current manifestation of the sequela (e.g., chronic low back pain).
• Ensure documentation clearly links the current symptoms to a past injury of the lower back muscles, fascia, or tendons.
• Do not use this code for acute injuries; refer to the appropriate S39.092A, D, or other acute injury codes.