Partial traum amp of right shldr/up arm, level unsp, sequela

This code signifies a partial traumatic loss of the right shoulder and/or upper arm, where the exact level of amputation is not specified. It indicates that the injury is a long-term consequence or complication of an initial traumatic event, rather than the acute injury itself.

This code is appropriate for documenting conditions or complications arising from a previous partial traumatic amputation of the right shoulder and upper arm, such as chronic pain, phantom limb sensation, or functional limitations. It should be used when the patient is presenting for treatment of these sequelae, long after the initial injury has healed.

• Always assign this code as a secondary diagnosis, following a code for the specific sequela being treated.
• Ensure documentation clearly states the injury is a "sequela" or "late effect" of a previous amputation.
• Do not use this code for the initial acute traumatic amputation; instead, use the acute injury code from the S48 category.