Fx r shoulder girdle, part unsp, subs for fx w routn heal

This code indicates a fracture of the right shoulder girdle where the specific bone involved (e.g., clavicle, scapula, humerus head) is not documented. The "subsequent encounter" signifies that the patient is receiving follow-up care for a previously diagnosed fracture, and "routine healing" suggests the fracture is progressing as expected without complications.

Use this code when a patient presents for a follow-up visit for a right shoulder girdle fracture, and the medical record does not specify the exact bone fractured. This applies to situations where the fracture is healing normally and the patient is not experiencing delayed union, nonunion, or malunion.

• Ensure the documentation clearly states "right" shoulder girdle and that the encounter is for follow-up care.
• Only use this code if the specific bone fractured within the shoulder girdle is truly unspecified in the medical record.
• Verify that there are no documented complications of healing (e.g., nonunion, delayed union) that would necessitate a different seventh character.