Dislocation of unspecified scapula, initial encounter

This code signifies the initial presentation of a complete displacement of the shoulder blade from its normal anatomical position, where the specific side (left or right) of the injury is not documented. This injury typically involves significant trauma and results in pain, deformity, and limited range of motion in the affected shoulder.

Apply this code when a patient presents for initial treatment of a scapular dislocation and the medical record does not specify whether the dislocation occurred on the left or right side. This is appropriate for emergency department visits, initial consultations, or the first instance of definitive care for the injury.

• Ensure documentation clearly states "unspecified" or lacks laterality for the scapular dislocation.
• Always look for more specific codes if laterality (left or right) is documented.
• Append additional codes for any associated fractures, nerve damage, or other complications.