Unsp superficial injury of unspecified lower leg, sequela

This code signifies a long-term complication or late effect resulting from an unspecified superficial injury to an unspecified area of the lower leg. It indicates that the original injury's specific nature (e.g., abrasion, contusion) and precise location on the lower leg are not documented, and the current encounter addresses a residual condition from that past injury.

Use this code when a patient presents with a sequela (e.g., scar tissue, chronic pain, altered sensation) directly attributable to a superficial injury of the lower leg that occurred in the past, and the medical record lacks specificity regarding the initial injury's type or exact anatomical site. This code is appropriate when the acute phase of the original injury has passed.

• Always attempt to find more specific codes for both the type of superficial injury and the specific lower leg anatomical site if documented.
• This code should be used as a secondary diagnosis, following a code for the specific sequela being treated.
• The "S" seventh character indicates a sequela, meaning the current encounter is for a complication or condition arising from a previous injury.