Sprain of left rotator cuff capsule, sequela

This code signifies a chronic or late-effect sprain of the connective tissue surrounding the left rotator cuff muscles. It indicates that the initial injury has resolved, but the patient continues to experience residual symptoms or complications directly attributable to that past sprain.

Use this code when documenting a patient presenting with ongoing pain, weakness, instability, or limited range of motion in the left shoulder, and the medical record clearly links these current symptoms to a previously sustained rotator cuff capsule sprain. This applies after the acute and subacute phases of the original injury have passed.

• Always sequence this 'S' code as a secondary diagnosis, following the code for the specific residual condition (e.g., chronic pain, instability).
• Ensure documentation explicitly states the current condition is a "sequela" or "late effect" of a prior sprain.
• Do not use this code for acute or subacute sprains; those require codes from the initial encounter or subsequent encounter categories.