Anterior dislocation of unspecified radial head, sequela

This code signifies a long-term complication or residual effect stemming from a past anterior dislocation of the radial head, where the specific side (left or right) was not documented. It indicates that the patient is experiencing ongoing issues directly attributable to that previous injury, rather than an acute event.

Apply this code when documenting conditions such as chronic pain, limited range of motion, instability, or deformity in the elbow region that are a direct consequence of a previously treated or resolved anterior radial head dislocation. This code is appropriate for follow-up encounters addressing these persistent problems after the initial injury has healed.

• Always assign a seventh character of "S" for sequela when using this code.
• Ensure documentation clearly links the current condition to the prior anterior radial head dislocation.
• Do not use this code for acute or initial encounters of a dislocation.