Fracture of right shoulder girdle, part unspecified, sequela

This code signifies a healed or residual effect from a fracture of the right shoulder girdle, where the specific bone involved is not documented. It indicates that the patient is experiencing ongoing issues directly related to a past fracture in this region, such as pain, stiffness, or functional limitation.

Apply this code when documenting a patient presenting with complications or long-term effects stemming from a previously sustained, unspecified fracture of the right shoulder girdle. This is appropriate for follow-up visits after the initial healing phase, when the fracture itself is no longer acute but its sequelae are being addressed.

• Ensure documentation clearly links the current symptoms or condition to a past right shoulder girdle fracture.
• Verify that the fracture is no longer in the active healing phase; otherwise, an acute fracture code would be more appropriate.
• Look for documentation of "history of fracture with current complications" or similar phrasing to support sequela coding.