Contusion of right forearm, subsequent encounter

This code indicates a bruise on the right forearm that is being treated or evaluated after the initial injury. It signifies a closed soft tissue injury resulting from blunt force trauma, characterized by pain, swelling, and discoloration, without a break in the skin.

Apply this code when a patient presents for follow-up care of a right forearm contusion, such as a re-evaluation, wound care, or physical therapy, after the initial diagnosis and treatment. It is appropriate for encounters occurring after the acute phase of the injury.

• Ensure documentation specifies the right forearm and that the encounter is not the initial treatment.
• Confirm the injury is a contusion (bruise) and not another type of trauma like a fracture or laceration.
• Always use in conjunction with an external cause code (V00-Y99) to describe the circumstances of the injury.