Unspecified sprain of right elbow, sequela

This code signifies a past injury to the right elbow, specifically an unspecified sprain, where the patient is now experiencing a residual effect or complication directly attributable to that original sprain. It indicates that the acute phase of the injury has passed, and the current clinical presentation is a long-term consequence.

Apply this code when a patient presents with ongoing symptoms such as chronic pain, stiffness, limited range of motion, or instability in the right elbow, and these symptoms are documented as a direct result of a previously sustained, unspecified sprain. This code is appropriate when the initial injury occurred in the past and the current encounter addresses its lasting impact.

• Requires a seventh character of "S" to denote sequela, indicating a late effect of the injury.
• Ensure documentation clearly links the current elbow condition to a prior unspecified sprain of the right elbow.
• Do not use for acute sprains; those would be coded with an "A" (initial encounter) or "D" (subsequent encounter) seventh character.