Laceration with foreign body of right shoulder, sequela

This code signifies a past injury to the right shoulder involving a laceration where a foreign object was embedded, and the patient is now experiencing a long-term complication or residual effect from that original injury. This could include chronic pain, nerve damage, restricted movement, or persistent infection related to the initial trauma.

Apply this code when documenting a patient encounter where the primary reason for the visit is a sequela directly resulting from a previous laceration with a retained foreign body in the right shoulder. This is appropriate for follow-up care addressing chronic issues rather than the initial acute injury.

• Always sequence this code after the primary diagnosis describing the specific sequela (e.g., chronic pain, scar contracture).
• Ensure documentation clearly links the current condition to the historical laceration with a foreign body.
• Do not use for acute lacerations or if the foreign body was removed without any lasting complications.