Sprain of right acromioclavicular joint, initial encounter

This code signifies a ligamentous injury to the acromioclavicular (AC) joint in the right shoulder, commonly referred to as a shoulder separation. It involves stretching or tearing of the ligaments connecting the acromion (part of the shoulder blade) to the clavicle (collarbone). The severity can range from mild stretching to complete rupture of the ligaments.

This code is appropriate for the initial evaluation and treatment of a patient presenting with a sprain of the right AC joint, typically following a traumatic event such as a fall directly onto the shoulder or a direct blow. It is used when the injury is acute and the patient is receiving active treatment for the condition.

• Ensure documentation specifies the right side and confirms the injury is a sprain, not a dislocation or fracture.
• This "initial encounter" code is used for the entire period a patient is receiving active treatment for the injury.
• Do not use this code for subsequent encounters or sequelae; specific codes exist for those situations.