Lateral disloc of proximal end of tibia, right knee, sequela

This code signifies a long-term complication or late effect stemming from a lateral dislocation of the proximal end of the tibia in the right knee. It indicates that the initial injury has resolved, but the patient is still experiencing residual issues directly attributable to that specific dislocation.

This code is appropriate when a patient presents with ongoing symptoms, functional limitations, or other sequelae (e.g., chronic instability, pain, arthritis) that are a direct result of a previously sustained lateral dislocation of the right proximal tibia. It should be used after the acute phase of the original injury has passed and treatment is focused on the lasting effects.

• Always use this code as a secondary diagnosis, following a code that describes the specific sequela (e.g., chronic pain, osteoarthritis).
• Ensure documentation clearly links the current condition to the previous lateral dislocation of the right proximal tibia.
• Verify the "S" seventh character is appropriate, indicating a sequela, and not an initial encounter or subsequent encounter for the acute injury.