Unspecified sprain of unspecified shoulder joint, sequela

This code signifies a past injury to the shoulder joint, specifically an unspecified sprain, that is now causing ongoing problems or complications. It indicates that the initial acute injury has resolved, but residual effects persist. The exact nature of the sprain and the specific shoulder involved are not documented.

This code is appropriate when a patient presents with chronic pain, stiffness, limited range of motion, or other long-term issues directly attributable to a previously sustained, but unspecified, shoulder sprain. It should be used when the initial injury is no longer acute and the current encounter addresses the lasting consequences.

• Only use this code when the documentation clearly states the current condition is a sequela of a past shoulder sprain.
• Avoid using this code if the specific shoulder (left or right) or the specific ligament/capsule involved in the sprain is known; more specific codes exist.
• Always sequence this code after the primary diagnosis describing the current manifestation of the sequela (e.g., chronic pain, adhesive capsulitis).