Unsp superficial injury of unspecified shoulder, subs encntr

This code signifies a superficial injury to the shoulder, such as a contusion, abrasion, or blister, where the specific nature of the injury is not documented. It is used when the patient is presenting for follow-up care after the initial treatment of the injury. The exact location on the shoulder is also not specified.

Apply this code when a patient returns for a subsequent visit related to a previously treated, vaguely defined superficial shoulder injury. This is appropriate when the medical record lacks detail regarding the precise type of superficial trauma (e.g., it's simply documented as "shoulder injury") and the specific side (left or right) is not indicated.

• Only use this code for follow-up encounters; an initial encounter would use the "A" seventh character.
• Avoid this code if the specific type of superficial injury (e.g., abrasion, contusion) or the laterality (left/right) is documented.
• Query the provider for more specificity regarding the injury type and laterality if possible, to allow for a more precise code.