Unsp superficial injury of right shoulder, subs encntr

This code indicates a superficial injury to the right shoulder, such as a contusion, abrasion, or blister, where the specific type of superficial injury is not documented. The "D" seventh character signifies that the patient is receiving routine care during the healing or recovery phase of the injury, after the initial active treatment.

This code is appropriate for follow-up visits where a patient is being seen for ongoing management of a right shoulder superficial injury, and the exact nature of the superficial injury (e.g., contusion vs. abrasion) was not specified in the initial encounter or subsequent documentation. It applies when the patient is no longer in the acute phase of treatment but still requires care related to the injury.

• Ensure documentation clearly indicates the right shoulder and a superficial injury, without further specificity.
• Confirm the encounter is for follow-up care after initial treatment has been completed.
• Do not use if a more specific superficial injury (e.g., contusion, abrasion) of the right shoulder is documented.