3-part fracture of surgical neck of unsp humerus, sequela

This code signifies a chronic or late effect stemming from a previous three-part fracture of the surgical neck of the humerus, where the specific side (left or right) is not documented. It indicates that the patient is experiencing ongoing issues, such as pain, limited range of motion, or deformity, directly attributable to the healed or resolving fracture.

This code is appropriate for encounters where a patient presents with a long-term complication or residual problem from a past three-part surgical neck humerus fracture. It should be used when the initial acute injury has resolved, and the current treatment addresses the sequelae rather than the acute fracture itself. This applies when the laterality of the original injury is unknown or not specified in the medical record.

• Always assign an additional code to describe the specific nature of the sequela (e.g., M25.51- for shoulder pain, M24.51- for contracture).
• Ensure documentation clearly links the current condition to the previous fracture and indicates the "sequela" status.
• Avoid using this code for initial or subsequent encounters for the acute fracture; those require codes from the initial or subsequent encounter categories.