Sprain of unspecified parts of left shoulder girdle, sequela

This code signifies a past injury to the left shoulder girdle, specifically a sprain, where the exact anatomical location of the sprain within the shoulder girdle was not specified at the time of the initial injury. The "sequela" designation indicates that the patient is currently experiencing residual effects or complications directly attributable to that previous sprain.

Use this code when documenting a patient presenting with chronic pain, limited range of motion, instability, or other long-term issues in the left shoulder girdle that are directly linked to a previously sustained, unspecified sprain. This code is appropriate when the initial acute injury has resolved, but its lasting consequences are being addressed.

• Always ensure documentation clearly links the current symptoms to a past, unspecified left shoulder girdle sprain.
• The "S" in the 7th character indicates sequela; do not use for acute or subsequent encounters for the initial injury.
• Consider additional codes for specific symptoms or complications (e.g., chronic pain, adhesive capsulitis) if documented.