Injury of axillary nerve, right arm, subsequent encounter

This code signifies a documented injury to the axillary nerve in the patient's right arm, occurring during a follow-up visit for ongoing care related to the initial injury. The axillary nerve is crucial for shoulder abduction and external rotation, as well as sensation over the deltoid. This code indicates that the patient is receiving continued treatment or evaluation for this specific nerve damage.

Apply this code when a patient presents for subsequent care, such as physical therapy, medication management, or re-evaluation, following an initial injury to the right axillary nerve. This includes visits for monitoring nerve recovery, addressing persistent symptoms, or managing complications arising from the original injury.

• Ensure documentation clearly specifies "right arm" and "axillary nerve" to support this code.
• Confirm the encounter is for follow-up care, not the initial injury, to justify the "D" seventh character.
• Look for associated codes for the underlying cause of the nerve injury (e.g., fracture, dislocation) if still relevant to the current encounter.