Other sprain of right shoulder joint, sequela

This code describes the long-term effects or complications resulting from a previous sprain of the right shoulder joint. These sequelae can include chronic pain, stiffness, limited range of motion, or instability that persists after the initial healing phase of the sprain. It indicates that the patient is experiencing residual issues directly attributable to an old injury.

Use this code when documenting a patient presenting with ongoing symptoms or conditions of the right shoulder that are a direct consequence of a sprain that occurred in the past. This applies when the acute phase of the sprain has resolved, but the patient continues to experience related problems. It is appropriate for follow-up visits addressing chronic issues stemming from the original injury.

• Always assign this code as a secondary diagnosis, with the primary diagnosis reflecting the current manifestation of the sequela (e.g., chronic pain, adhesive capsulitis).
• Ensure documentation clearly links the current shoulder condition to a previously sustained sprain of the right shoulder.
• Do not use this code for acute or subacute sprains; those require codes from the initial or subsequent encounter categories.