Posterior subluxation of left radial head, subs encntr

This diagnosis describes a partial dislocation of the radial head in the left elbow, where the bone has shifted backward from its normal articulation with the ulna and humerus. This condition can cause pain, swelling, and limited range of motion in the elbow joint.

This code is appropriate for follow-up visits, such as re-evaluations, physical therapy sessions, or repeat imaging, for a patient previously diagnosed and treated for a posterior subluxation of the left radial head. It signifies that the patient is still under active care for the injury.

• Ensure documentation specifies "posterior subluxation" and not a complete dislocation or anterior subluxation.
• Verify the laterality is clearly documented as "left."
• Confirm the encounter type is "subsequent" (D) and not initial (A) or sequela (S).