Sprain of unspecified ligament of right ankle, sequela

This code signifies a long-term or late effect of an injury to an unspecified ligament in the right ankle, such as chronic pain, instability, or limited range of motion that persists after the initial healing period. It indicates that the patient is experiencing ongoing issues directly attributable to a previous right ankle sprain, where the specific ligament involved was not documented.

Apply this code when a patient presents with persistent symptoms or complications of a right ankle sprain that occurred in the past, and the medical record does not specify which ligament was affected. This is appropriate for follow-up visits addressing chronic sequelae rather than the acute injury itself.

• Always ensure documentation clearly links the current symptoms to a past right ankle sprain.
• Use this code for chronic conditions; for acute sprains, refer to the acute sprain codes.
• Verify that the laterality (right ankle) is explicitly documented.