Laceration w/o foreign body of unsp shoulder, init encntr

This code signifies a tear or cut in the skin and underlying soft tissues of the shoulder, where no foreign object is embedded in the wound. It indicates that this is the first time the patient is being treated for this specific injury.

Apply this code for a patient presenting with an open wound to the shoulder, such as from a fall or blunt trauma, where the physician's documentation explicitly states a laceration without mention of a foreign body. This is appropriate for the initial evaluation and treatment of the injury.

• Ensure documentation specifies "without foreign body" to differentiate from codes with foreign body.
• Verify the encounter is "initial" for this specific injury; subsequent care would use a different encounter character.
• If laterality (left or right shoulder) is documented, a more specific code should be selected.