Sprain of oth parts of right shoulder girdle, sequela

This code indicates a sprain affecting a specific, non-rotator cuff part of the right shoulder girdle, such as the acromioclavicular or sternoclavicular joint, where the initial injury has resolved and the patient is now experiencing a long-term effect or complication. It signifies a chronic or residual condition rather than an acute injury.

Apply this code when documenting a patient presenting with ongoing pain, instability, or functional limitation in the right shoulder girdle due to a previously sustained sprain, after the initial healing phase has passed. This is appropriate for follow-up visits addressing the chronic sequelae of such an injury.

• Ensure the medical record clearly documents the "sequela" nature of the condition, indicating it's a late effect of a previous injury.
• Do not use this code for acute sprains; those require an initial encounter or subsequent encounter code.
• Verify the specific part of the shoulder girdle affected is "other specified" and on the right side.