Laceration without foreign body, right ankle, sequela

This code signifies a past injury to the right ankle involving a tear or cut in the skin and underlying tissues, where no foreign object was embedded at the time of the original injury. The "sequela" designation indicates that this encounter is for a late effect or complication directly resulting from that initial laceration, rather than the acute injury itself.

Apply this code when a patient presents for treatment of a long-term consequence of a laceration to their right ankle that occurred in the past. Examples include chronic pain, scar tissue complications, nerve damage, or restricted range of motion directly attributable to the healed laceration. This code is not for the initial treatment of the laceration.

• Always use an additional code to specify the nature of the sequela (e.g., chronic pain, scar contracture).
• Ensure documentation clearly links the current condition to the previous right ankle laceration.
• Do not use this code for acute lacerations; use the appropriate acute laceration code for the initial injury.