Sprain of tibiofibular ligament of right ankle, sequela

This code signifies a chronic or late effect of a sprain to the tibiofibular ligament in the right ankle. It indicates that the patient is experiencing ongoing symptoms or complications directly attributable to a previously sustained injury to this specific ligament.

Use this code when documenting a patient presenting with persistent pain, instability, or other long-term issues in the right ankle, where the medical record clearly links these symptoms to an old sprain of the tibiofibular ligament. This applies to conditions that are a direct consequence of the initial injury, even if the acute phase has passed.

• Always ensure documentation explicitly states "sequela," "late effect," or similar language indicating a chronic condition resulting from a past injury.
• Verify the laterality is accurately documented as "right ankle."
• Do not use this code for acute or initial encounters of a tibiofibular ligament sprain.