Medial dislocation of unspecified ulnohumeral joint, sequela

This code signifies a past medial dislocation of the ulnohumeral joint (elbow joint) where the specific side (left or right) is not documented. The "S" at the end indicates that this code is for a sequela, meaning it represents a late effect or complication of the initial injury, not the acute dislocation itself. This could include chronic pain, instability, or limited range of motion resulting from the previous dislocation.

Use this code when documenting the long-term consequences or residual conditions stemming from a previously sustained medial ulnohumeral joint dislocation of an unspecified elbow. This applies to follow-up encounters where the patient is being treated for issues directly related to the old injury, such as chronic pain, stiffness, or recurrent instability. Do not use this code for the initial acute injury.

• Always ensure the documentation clearly states that the condition is a sequela of a past dislocation, not an acute event.
• If the laterality (left or right) of the elbow is specified in the medical record, a more specific code should be used.
• This code should be sequenced after the primary diagnosis for the current encounter, if applicable, to indicate the underlying cause of the sequela.